Individual provider Active NPI

Barbara Ann Hannah, M.D.

  • Obstetrics & Gynecology Physician
  • Lincoln Park, MI
National Provider Identifier
1396780417
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
BH063985 Issued in MI
Practice address
25050 Outer Dr
Lincoln Park, MI 48146-1297
Phone
(313) 388-4247
Fax
(313) 388-4827
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X BH063985 MI Primary

Addresses

Primary practice location

25050 Outer Dr
Lincoln Park, MI 48146-1297

Mailing address

14184 Longacre St
Detroit, MI 48227-1357
Phone (313) 388-4247

Other identifiers 2

IdentifierTypeStateIssuer
0827291OtherMIBLUE CROSS BLUE SHIELD MI
4365322MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080702000635 MI Practitioner - Obstetrics/Gynecology 1456423623 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25050 Outer Dr
Suite 102
Lincoln Park, MI 48146-1293
Phone (313) 388-4247

Hospital & facility affiliations

  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BH063985MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Wyandotte Hospital Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Jan 1, 2016 Accepting new patients
Lifetime HRT, PLLC Obstetrics & Gynecology CurrentSince Apr 14, 2026 Accepting new patients

Locations

2142 Monroe St
Ste 200
Dearborn, MI 48124
Phone (313) 444-1116

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: bhannah57285@direct.hfhs.org

Organizations & group practices 4

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 2

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1396780417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14184 LONGACRE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271357",
            "telephone_number": "313-388-4247",
            "fax_number": "313-388-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461297",
            "telephone_number": "313-388-4247",
            "fax_number": "313-388-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "BH063985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "0827291",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4365322",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

Verify at the official NPI Registry.