Active NPI
John Paul Hanna, MD
- Internal Medicine Physician
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME169421
- Practice address
- 1900 Don Wickham Dr
Clermont, FL 34711-1979 - Phone
- (352) 536-8840
- Fax
- (352) 536-8841
- NPI assigned
- Mar 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301509533 | MI | |
| Hospitalist Physician | 208M00000X | 4301509533 | MI | |
| Internal Medicine Physician | 207R00000X | ME169421 | FL | Primary |
Addresses
Primary practice location
1900 Don Wickham Dr
Clermont, FL 34711-1979
Mailing address
1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (352) 536-8840
Other practice location 1
1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (352) 536-8840
Other practice location 2
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123298900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (352) 536-8840
Hospital & facility affiliations
- Orlando Health South Lake Hospital
- Orlando Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients | |
| Henry Ford Health System | Internal Medicine | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Past | Accepting new patients |
Locations
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jhanna296665@direct.hfhs.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1891702833
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
- Social Worker
- Warren, MI
- NPI 1548609761
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1346701026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 DON WICKHAM DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111979",
"telephone_number": "352-536-8840",
"fax_number": "352-536-8841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 DON WICKHAM DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111979",
"telephone_number": "352-536-8840",
"fax_number": "352-536-8841"
}
],
"practiceLocations": [
{
"address_1": "1900 Don Wickham Dr",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347111979",
"country_code": "US",
"telephone_number": "352-536-8840",
"fax_number": "352-536-8841",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2799 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022608",
"country_code": "US",
"telephone_number": "313-916-2600",
"fax_number": "313-916-8288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-26",
"last_updated": "2024-08-29",
"certification_date": "2024-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301509533",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301509533",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME169421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123298900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.