Individual provider Active NPI

Donald Paul Hanna, M.D.

  • Specialist
  • Cary, NC
National Provider Identifier
1417909151
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14307 Issued in NC
Practice address
1608 Kildaire Farm Rd Ste 100
Cary, NC 27511-6557
Phone
(919) 233-1933
Fax
(919) 896-6939
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14307 NC Primary

Addresses

Primary practice location

1608 Kildaire Farm Rd Ste 100
Cary, NC 27511-6557

Mailing address

1608 Kildaire Farm Rd Ste 100
Cary, NC 27511-6557
Phone (919) 233-1933

Other identifiers 1

IdentifierTypeStateIssuer
8939052MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130712000096 NC Practitioner - Plastic and Reconstructive Surgery 9638314206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Wayne State University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1608 Kildaire Farm Rd
Suite 100
Cary, NC 27511-6557
Phone (919) 233-1933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14307NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Plastic & Reconstructive Surgery Center Specialist CurrentSince Aug 1, 2013 Accepting new patients

Locations

1608 Kildaire Farm Rd
Ste 100
Cary, NC 27511
Phone (919) 233-1933

1805 Kildaire Farm Rd
Ste P
Cary, NC 27518

1805 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 233-1933

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1417909151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 KILDAIRE FARM RD STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116557",
            "telephone_number": "919-233-1933",
            "fax_number": "919-896-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 KILDAIRE FARM RD STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116557",
            "telephone_number": "919-233-1933",
            "fax_number": "919-896-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "DONALD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "14307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8939052",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.