NPIMap

Individual provider Active NPI

Todd T Hannula, MD

  • Orthopaedic Surgery Physician
  • Marion, VA
National Provider Identifier
1346357951
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101252921 Issued in VA
Practice address
1616 N Main St
Ste 100a
Marion, VA 24354-4473
Phone
(276) 783-9752
Fax
(276) 783-7786
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 39663 WI
Orthopaedic Surgery Physician 207X00000X 0101252921 VA Primary

Addresses

Primary practice location

1616 N Main St
Ste 100a
Marion, VA 24354-4473

Mailing address

1616 N Main St
Ste 100a
Marion, VA 24354-4473
Phone (276) 783-9752

Other identifiers 2

IdentifierTypeStateIssuer
1346357951MedicaidVA
32039700MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121115000442 VA Practitioner - Orthopedic Surgery 6406996214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Wisconsin School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, 283 clinicians

Practice addresses (Care Compare)

1616 N Main St
Suite 100a
Marion, VA 24354-4473
Phone (276) 783-9752

Hospital & facility affiliations

  • Wythe Circle Home Care Home health agency, Wytheville, VA, CCN 497094
  • Smyth County Community Hospital Hospital, Marion, VA, CCN 490038
  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement18
Knee replacement30
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101252921VAMDOrthopaedic Surgery Physician
39663WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Oct 15, 2012 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 15, 2012 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Abingdon Physician Partners CurrentSince Oct 4, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777

1616 N Main St
Ste 100A
Marion, VA 24354
Phone (276) 783-9752

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1346357951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 N MAIN ST",
            "address_2": "STE 100A",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544473",
            "telephone_number": "276-783-9752",
            "fax_number": "276-783-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N MAIN ST",
            "address_2": "STE 100A",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544473",
            "telephone_number": "276-783-9752",
            "fax_number": "276-783-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNULA",
        "first_name": "TODD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "39663",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101252921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346357951",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32039700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.