Hilary Hanba, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

76140 Issued in MT

Practice address

1287 Burns Way
Kalispell, MT 59901

Phone

(406) 752-8120

Fax

(406) 752-8134

NPI assigned

Apr 7, 2015

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Hilary Beauchamp Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krmcmedicalrecords@krhdirect.org

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.

• Kalispell Regional Medical Center Inc

  dba Logan Health Medical Center

  • General Acute Care Hospital
  • Kalispell, MT
  • NPI 1417945627
  Medicare reassignment NPD (past)
• Kalispell Regional Medical Center Inc

  dba Logan Health Children's Specialists

  • Pediatrics Physician
  • Kalispell, MT
  • NPI 1154785822
  NPD
• Kalispell Regional Medical Center Inc

  dba Logan Health Breast Center

  • Clinic/Center
  • Kalispell, MT
  • NPI 1235333139
  NPD
• Kalispell Regional Medical Center, Inc

  dba Logan Health Imaging- 1111 Baker

  • Radiology Clinic/Center
  • Whitefish, MT
  • NPI 1073362463
  NPD
• Kalispell Regional Medical Center, Inc

  dba Logan Health Surgical Clinic

  • Surgery Physician
  • Kalispell, MT
  • NPI 1215527403
  NPD (past)
• Molly O'Shea, MD, PLLC

  dba Birmingham Pediatrics Wellness Center

  • Clinic/Center
  • Troy, MI
  • NPI 1346417615
  NPD (past)
• Molly Oshea PLLC

  dba Birmingham Pediatrics Wellness Center

  • Primary Care Clinic/Center
  • Troy, MI
  • NPI 1669709960
  NPD (past)

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1285020263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 BURNS WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013109",
            "telephone_number": "406-752-8120",
            "fax_number": "406-752-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 BURNS WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-752-8120",
            "fax_number": "406-752-8134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3270 W Big Beaver Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480842901",
            "country_code": "US",
            "telephone_number": "248-816-2558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Saint Antoine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "616-990-0719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANBA",
        "first_name": "HILARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301107811",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "76140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "1287 Burns Way",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HILARY",
            "last_name": "BEAUCHAMP",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Eileen Hamilton, LCSW
• William Neil Hammer, DMD
• Nastastia Byrd Han, APRN- PNP- PC
• Young Han, DMD, MSD
• Daniel Hanba, MD
• Hands on Health Care
• Kathryn Kay Hansen, MD
• Victor D Hanson, LAC, BSW
• Deborah Elizabeth Harding, NBC-HWC
• Gabriella Sandra Harman, PA-C

• Pediatrics Physician in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Pediatrics Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.