Individual provider Active NPI

Joel A. Hahnke, M.D.

  • Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1225094485
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33137 Issued in AZ
Practice address
8840 E Chaparral Rd
Suite 210
Scottsdale, AZ 85250-2611
Phone
(480) 827-5370
Fax
(480) 827-5365
NPI assigned
Apr 25, 2006
Last updated
Feb 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 33137 AZ Primary

Addresses

Primary practice location

8840 E Chaparral Rd
Suite 210
Scottsdale, AZ 85250-2611

Mailing address

17231 N 46TH PL
Phoenix, AZ 85032-9317
Phone (602) 795-1088

Other identifiers 1

IdentifierTypeStateIssuer
953572MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000683 AZ Practitioner - EndocrinologyPractitioner - Pediatric Medicine 0042241978 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Super Specialists Arizona LLC CurrentSince Dec 1, 2014 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Dec 1, 2014 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

5310 W Thunderbird Rd
Ste 214
Glendale, AZ 85306
Phone (602) 865-4480

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1450 S Dobson Rd
Ste B221
Mesa, AZ 85202
Phone (480) 461-1161

8840 E Chaparral Rd
Ste 210
Scottsdale, AZ 85250
Phone (480) 827-5370

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1225094485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17231 N 46TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329317",
            "telephone_number": "602-795-1088",
            "fax_number": "480-827-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 E CHAPARRAL RD",
            "address_2": "SUITE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852502611",
            "telephone_number": "480-827-5370",
            "fax_number": "480-827-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHNKE",
        "first_name": "JOEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "33137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "953572",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.