NPIMap

Individual provider Active NPI

Adrian Farris Hazbun, M.D.

  • Family Medicine Physician
  • Columbia, PA
National Provider Identifier
1396923306
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD426921 Issued in PA
Practice address
3985 Columbia Ave Ste 8
Columbia, PA 17512-9003
Phone
(717) 285-3144
Fax
(717) 295-9098
NPI assigned
Feb 1, 2008
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-13586 HI
Family Medicine Physician 207Q00000X MD426921 PA Primary

Addresses

Primary practice location

3985 Columbia Ave Ste 8
Columbia, PA 17512-9003

Mailing address

3985 Columbia Ave Ste 8
Columbia, PA 17512-9003
Phone (717) 285-3144

Other identifiers 1

IdentifierTypeStateIssuer
1022283810001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081112000570 PA Practitioner - Family Practice 1052351954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3985 Columbia Ave
Columbia, PA 17512-9003
Phone (717) 285-3144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-13586HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Sep 26, 2022 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

3985 Columbia Ave
Columbia, PA 17512
Phone (717) 285-3144

3985 Columbia Ave
Ste 8
Columbia, PA 17512
Phone (717) 285-3144

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

Interoperability endpoints

  • Direct secure messaging: ahazbun@diamantoni.directbygreenway.com

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1396923306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 COLUMBIA AVE STE 8",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175129003",
            "telephone_number": "717-285-3144",
            "fax_number": "717-295-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 COLUMBIA AVE STE 8",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175129003",
            "telephone_number": "717-285-3144",
            "fax_number": "717-295-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZBUN",
        "first_name": "ADRIAN",
        "middle_name": "FARRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-13586",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD426921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022283810001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, PA

Sources for this page

Verify at the official NPI Registry.