Active NPI
Sahar Gamal Hanna, MD
- Pediatrics Physician
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 52268
- Practice address
- 9470 Broadway
Crown Point, IN 46307-5722 - Phone
- (219) 661-3260
- Fax
- (219) 662-3770
- NPI assigned
- Mar 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 52268 | MN | Primary |
| Personal Emergency Response Attendant | 146D00000X | 249680-1 | NY | |
| Pediatrics Physician | 208000000X | 13035-320 | WI |
Addresses
Primary practice location
9470 Broadway
Crown Point, IN 46307-5722
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
480 Osborne Rd NE
Fridley, MN 55432-2773
Phone (763) 785-4500
Other practice location 2
707 14th St
Baraboo, WI 53913-1539
Phone (608) 356-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467693580 | Medicaid | WI |
Other names 1
- Sahar Gamal Khalil
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | shanna530899@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MN, IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249680-1 | NY | MD | Personal Emergency Response Attendant |
| 13035-320 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Auburn Community Hospital | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Auburn Community Hospital | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Pediatrics | Current | Accepting new patients |
| Northshore Health Centers, Inc. | Pediatrics | Current | Accepting new patients |
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients |
Locations
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550
37 W Garden St
Ste 105
Auburn, NY 13021
Phone (315) 252-0000
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
707 14th St
Baraboo, WI 53913
Phone (608) 356-1400
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- sahar.hanna.p1@direct.northshorehealth.nextgenshare.com
- drhanna@amms.medentdirect.com
Organizations & group practices 11
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.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
Pediatrics
-
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Federally Qualified Health Center (FQHC)
- Chesterton, IN
- NPI 1568856045
Pediatrics
-
- Internal Medicine Physician
- Auburn, NY
- NPI 1336855683
-
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
-
- Community Health Clinic/Center
- Marshall, MN
- NPI 1912265059
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1467693580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9470 BROADWAY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463075722",
"telephone_number": "219-661-3260",
"fax_number": "219-662-3770"
}
],
"practiceLocations": [
{
"address_1": "480 Osborne Rd NE",
"address_purpose": "LOCATION",
"city": "Fridley",
"state": "MN",
"postal_code": "554322773",
"country_code": "US",
"telephone_number": "763-785-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 14th St",
"address_purpose": "LOCATION",
"city": "Baraboo",
"state": "WI",
"postal_code": "539131539",
"country_code": "US",
"telephone_number": "608-356-1400",
"fax_number": "608-356-1367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "SAHAR",
"middle_name": "GAMAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-19",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "52268",
"primary": true
},
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "NY",
"license": "249680-1",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "13035-320",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467693580",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "707 14th St",
"city": "Baraboo",
"state": "WI",
"country_code": "US",
"postal_code": "539131539",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shanna530899@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "shanna530899@direct-ehr-ssmhc.com",
"address_1": "707 14th St",
"city": "Baraboo",
"state": "WI",
"country_code": "US",
"postal_code": "539131539",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SAHAR",
"last_name": "KHALIL",
"middle_name": "GAMAL",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.