NPIMap

Individual provider Active NPI

Sherif Y Hanna, M.D.

  • Internal Medicine Physician
  • Bedford, TX
National Provider Identifier
1467415695
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2482 Issued in TX
Practice address
1604 Hospital Pkwy Ste 100
Bedford, TX 76022-5913
Phone
(817) 848-2880
Fax
(817) 848-2890
NPI assigned
Apr 10, 2006
Last updated
Aug 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K2482 TX Primary

Addresses

Primary practice location

1604 Hospital Pkwy Ste 100
Bedford, TX 76022-5913

Mailing address

1604 Hospital Pkwy Ste 100
Bedford, TX 76022-5913
Phone (817) 848-2880

Other identifiers 1

IdentifierTypeStateIssuer
118085304MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090327000057 TX Practitioner - Internal Medicine 8628135175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1604 Hospital Pkwy
Suite 100
Bedford, TX 76022-5913
Phone (817) 848-2880

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2009 Accepting new patients
Deuteronomy Past Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Past Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Internal Medicine Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1604 Hospital Pkwy
#20
Bedford, TX 76022
Phone (817) 684-2880

1604 Hospital Pkwy
Ste 100
Bedford, TX 76022
Phone (817) 684-2880

1615 Hospital Pkwy
Ste 204
Bedford, TX 76022
Phone (817) 684-5002

Interoperability endpoints

  • Direct secure messaging: shanna16222@direct.texashealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1467415695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225913",
            "telephone_number": "817-848-2880",
            "fax_number": "817-848-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225913",
            "telephone_number": "817-848-2880",
            "fax_number": "817-848-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "SHERIF",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118085304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.