Individual provider Active NPI

Robin Dale Hanson, M.D.

  • Pediatric Hematology & Oncology Physician
  • Saint Louis, MO
National Provider Identifier
1396719100
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
104100 Issued in MO
Practice address
607 S New Ballas Rd
Suite 2415
Saint Louis, MO 63141-8219
Phone
(314) 251-6986
NPI assigned
Feb 16, 2006
Last updated
Oct 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 104100 MO Primary

Addresses

Primary practice location

607 S New Ballas Rd
Suite 2415
Saint Louis, MO 63141-8219

Mailing address

607 S New Ballas Rd
Suite 2415
Saint Louis, MO 63141-8219
Phone (314) 251-6986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20120419000708 MO Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 1153582002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hematology/Oncology
Education
Washington University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Children's Cancer and Hematology LLCGroup PAC ID 0345401477, 2 clinicians

Practice addresses (Care Compare)

615 S New Ballas Rd
St Louis, MO 63141-8221

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Children's Cancer & Hematology LLC Pediatric Hematology-Oncology CurrentSince Jul 9, 2017 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

607 S New Ballas Rd
Ste 2415
Saint Louis, MO 63141
Phone (314) 251-5399

615 S New Ballas Rd
Ste 120
Saint Louis, MO 63141
Phone (314) 251-6986

Interoperability endpoints

  • Direct secure messaging: rhanson1172@directc.mercy.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1396719100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD",
            "address_2": "SUITE 2415",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418219",
            "telephone_number": "314-251-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD",
            "address_2": "SUITE 2415",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418219",
            "telephone_number": "314-251-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "ROBIN",
        "middle_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MO",
            "license": "104100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.