Active NPI
Merhej Hannun, MD
- Family Medicine Physician
- Mobridge, SD
National Provider Identifier
1417526328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MT224273
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Hospital
Practice addresses (Care Compare)
1309 10TH Ave W
Mobridge, SD 57601-1146
Phone (605) 845-3692
Hospital & facility affiliations
- Mobridge Regional Hospital - Cah
- Sanford Medical Center Bismarck
- Avera St Lukes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT224273 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobridge Regional Hospital | Family Medicine | Current | Accepting new patients |
| Mobridge Regional Hospital | Current | Accepting new patients | |
| Mobridge Regional Hospital | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Selby, SD
- NPI 1093335333
-
- Medicare Defined Swing Bed Hospital Unit
- Mobridge, SD
- NPI 1184766073
-
- Rural Health Clinic/Center
- MC Laughlin, SD
- NPI 1457328841
-
- Rural Health Clinic/Center
- Timber Lake, SD
- NPI 1841267341
-
- Critical Access Hospital
- Mobridge, SD
- NPI 1902948896
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
- Great Plains Area Youth Regional Treatment Center
- Great Plains Area Youth Regional Treatment Center
- Jessica Lynne Haefner, M.S. LPC-MH, LPCC
- Jackie Lynn Hanna
- Kim Marie Hannan, OTR/L
- Henderson Chiropractic Clinic, PLLC
- Josh B Henderson, DO
- Rose Marie Henderson, D.C.
- Travis B Henderson, MD
- Mary Lerae Herman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.