Individual provider Active NPI

Heidi-Anne M Hanson, MD

  • Internal Medicine Physician
  • Laconia, NH
National Provider Identifier
1407232168
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18617 Issued in NH
Practice address
LRGH Hospitalist Program
Laconia, NH 03246-3235
Phone
(603) 934-2060
Fax
(603) 737-6713
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 18617 NH
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 18617 NH Primary

Addresses

Primary practice location

LRGH Hospitalist Program
Laconia, NH 03246-3235

Mailing address

PO Box 1327
Laconia, NH 03247-1327
Phone (603) 934-2060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221109001967 TX Practitioner - Internal Medicine 2264788892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Internists Associates, PLLCGroup PAC ID 7113817404, 11 clinicians

Practice addresses (Care Compare)

331 Melrose Dr
Suite 220
Richardson, TX 75080-4773
Phone (469) 828-1903

Hospital & facility affiliations

  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196
  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18617NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Internists Associates, PLLC Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Texas Heart Hospital of the Southwest, LLC Past Accepting new patients

Locations

331 Melrose Dr
Ste 220
Richardson, TX 75080
Phone (469) 828-1903

275 W Campbell Rd
Ste 260
Richardson, TX 75080

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1407232168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471327",
            "telephone_number": "603-934-2060",
            "fax_number": "603-527-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LRGH HOSPITALIST PROGRAM",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463235",
            "telephone_number": "603-934-2060",
            "fax_number": "603-737-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "HEIDI-ANNE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "18617",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "18617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.