Individual provider Active NPI

Mona Hanna, MD MPH

  • Pediatrics Physician
  • Flint, MI
National Provider Identifier
1265470348
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301080229 Issued in MI
Practice address
One Hurley Plaza
Flint, MI 48503-5993
Phone
(810) 262-9353
Fax
(810) 760-0440
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 4301080229 MI Primary

Addresses

Primary practice location

One Hurley Plaza
Flint, MI 48503-5993

Mailing address

717 Arbor CT
Bloomfield Hills, MI 48304-2801

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhannaattisha4098@direct.hurleymc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20051006000467 MI Practitioner - Pediatric Medicine 0143245423 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080229MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center Pediatrics CurrentSince Jun 6, 2011 Accepting new patients
Hurley Medical Center CurrentSince Jun 6, 2011 Accepting new patients

Locations

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1 Hurley Plz
Fl 5
Flint, MI 48503
Phone (810) 262-9353

1 Hurley Plz
#3D
Flint, MI 48503
Phone (810) 262-6046

300 E 1st St
#201
Flint, MI 48502
Phone (810) 262-9773

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1265470348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ARBOR CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HURLEY PLAZA",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035993",
            "telephone_number": "810-262-9353",
            "fax_number": "810-760-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MONA",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301080229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhannaattisha4098@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "One Hurley Plaza",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485035993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.