Stephen Hannan, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01033930A Issued in IN

Practice address

10018 Harbour Pines CT
Indianapolis, IN 46256-9335

Phone

(317) 430-3975

NPI assigned

Jun 16, 2005

Last updated

Apr 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, SC2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

87.3 of 100Reported as group

Quality

70.94

Improvement activities

40

Cost

92.94

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cep America LLC

  • Emergency Medicine Physician
  • Terre Haute, IN
  • NPI 1285103671
  Medicare reassignment NPD
• Recover Together, Inc.

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • London, KY
  • NPI 1346736758

  SC

  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1548912553
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Lafayette Emergency Care, P.C.

  dba Indiana Emergency Care

  • Emergency Medicine Physician
  • Lafayette, IN
  • NPI 1861447211
  NPD (past)
• Monticello Emergency Care, LLC

  • Emergency Medicine Physician
  • Bloomington, IN
  • NPI 1003849399
  NPD (past)
• Fairway Medical Urgent Care LLC

  • Urgent Care Clinic/Center
  • Covington, LA
  • NPI 1669627626
  NPD (past)
• Woodruff Road Urgent Care Center, P.C.

  dba AFC Urgent Care

  • Primary Care Clinic/Center
  • Powdersville, SC
  • NPI 1205475001
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1326043233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10018 HARBOUR PINES CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462569335",
            "telephone_number": "317-430-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10018 HARBOUR PINES CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462569335",
            "telephone_number": "317-430-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01033930A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100384110",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "930127220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Hannah
• Ebony N Hannah, AGCNS-BC
• Joe M Hannah, M.D.
• Katie Marie Hannah
• Samantha Lonetta Rae Hannah, M.A. CCC-SLP
• Alison Elise Hannon
• Kathleen Marie Hannon
• Tamara S Hannon, M.D.
• Timothy J Hannon, MD
• Becky Hannowsky

• Emergency Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.