Joe M Hannah, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01025363A Issued in IN

Practice address

4115 Office Plaza Blvd
Indianapolis, IN 46254-2408

Phone

(317) 297-3507

Fax

(317) 290-2557

NPI assigned

Sep 1, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Indiana University Health Care Associates, Inc

  dba IU Health Physicians

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1902032832
  Medicare reassignment NPD
• Riviera Pediatrics LLC

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1912029257
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417059536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 OFFICE PLAZA BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542408",
            "telephone_number": "317-297-3507",
            "fax_number": "317-290-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 OFFICE PLAZA BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542408",
            "telephone_number": "317-297-3507",
            "fax_number": "317-290-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "JOE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01025363A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000083794",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nasser H Hanna, MD
• Robin Alyse Hanna
• Hannah Leezer DDS, LLC (Evergreen Dental)
• Ashley Elizabeth Hannah
• Ebony N Hannah, AGCNS-BC
• Katie Marie Hannah
• Samantha Lonetta Rae Hannah, M.A. CCC-SLP
• Stephen Hannan, MD
• Alison Elise Hannon
• Kathleen Marie Hannon

• Pediatrics Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.