Individual provider Active NPI

Merhej Hannun, MD

  • Family Medicine Physician
  • Mobridge, SD
National Provider Identifier
1417526328
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT224273 Issued in PA
Practice address
1309 10TH Ave W
Mobridge, SD 57601-1146
Phone
(605) 845-3692
Fax
(605) 845-8172
NPI assigned
Jun 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT224273 PA Primary

Addresses

Primary practice location

1309 10TH Ave W
Mobridge, SD 57601-1146

Mailing address

PO Box 13579
Reading, PA 19612-3579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20241105001680 SD Practitioner - Family Practice 9638603244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Mobridge Regional HospitalGroup PAC ID 6507776135, 20 clinicians

Practice addresses (Care Compare)

1309 10TH Ave W
Mobridge, SD 57601-1146
Phone (605) 845-3692

Hospital & facility affiliations

  • Mobridge Regional Hospital - Cah Hospital, Mobridge, SD, CCN 431325
  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015
  • Avera St Lukes Hospital, Aberdeen, SD, CCN 430014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT224273PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobridge Regional Hospital Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Mobridge Regional Hospital CurrentSince Dec 1, 2025 Accepting new patients
Mobridge Regional Hospital CurrentSince Nov 1, 2024 Accepting new patients
Mobridge Regional Hospital Current Accepting new patients

Locations

1309 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692

1401 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/95143858-4077-4cf1-b5d2-c2a999f62bb3/

Organizations & group practices 7

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1417526328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 10TH AVE W",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011146",
            "telephone_number": "605-845-3692",
            "fax_number": "605-845-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNUN",
        "first_name": "MERHEJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT224273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobridge, SD

Sources for this page

Verify at the official NPI Registry.