NPIMap

Individual provider Active NPI

Cynthia M Hanna, MD

  • Gynecology Physician
  • Pawtucket, RI
National Provider Identifier
1457391336
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD7267 Issued in RI
Practice address
333 School Street
Suite 200
Pawtucket, RI 02860
Phone
(401) 724-0600
Fax
(401) 724-8306
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD7267 RI Primary

Addresses

Primary practice location

333 School Street
Suite 200
Pawtucket, RI 02860

Mailing address

333 School Street
Suite 200
Pawtucket, RI 02860
Phone (401) 724-0600

Other identifiers 1

IdentifierTypeStateIssuer
9023882MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cynthia.hanna.1@3516.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000621 RI Practitioner - Obstetrics/Gynecology 6709842131 Reassigns benefits to 1 organization
Practice locations: Pawtucket, RI

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New England Healthcare for Women, LLCGroup PAC ID 0042486649, 26 clinicians

Practice addresses (Care Compare)

333 School St
Suite 205
Pawtucket, RI 02860-5336
Phone (401) 724-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.21 of 100Reported as group
Quality
93.11
Promoting interoperability
100
Improvement activities
40
Cost
77.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD7267RIMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern New England Healthcare for Women, LLC CurrentSince Nov 1, 2011 Accepting new patients
Cynthia M. Hanna, M.D. Gynecology PastSince Jan 1, 1990 Accepting new patients

Locations

333 School St
Ste 200
Pawtucket, RI 02860
Phone (401) 724-0600

333 School St
Ste 205
Pawtucket, RI 02860
Phone (401) 724-0600

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

297 Promenade St
Providence, RI 02908
Phone (401) 490-6464

695 Eddy St
Ste 21
Providence, RI 02903
Phone (401) 272-1550

1525 Wampanoag Trl
Ste 201
Riverside, RI 02915

Interoperability endpoints

  • Direct secure messaging: channa@direct.carene.org

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 9

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1457391336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SCHOOL STREET",
            "address_2": "SUITE 200",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-724-0600",
            "fax_number": "401-724-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL STREET",
            "address_2": "SUITE 200",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-724-0600",
            "fax_number": "401-724-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "RI",
            "license": "MD7267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9023882",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia.hanna.1@3516.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Messaging",
            "address_1": "333 School Street",
            "address_2": "Suite 200",
            "city": "Pawtucket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "02860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.