Individual provider Active NPI

Richard Hanley

  • Family Medicine Physician
  • Dunedin, FL
National Provider Identifier
1467984047
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME152230 Issued in FL
Practice address
646 Virginia St Ste 601
Dunedin, FL 34698-6612
Phone
(727) 736-3212
Fax
(813) 635-2635
NPI assigned
Apr 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME152230 FL Primary

Addresses

Primary practice location

646 Virginia St Ste 601
Dunedin, FL 34698-6612

Mailing address

646 Virginia St Ste 601
Dunedin, FL 34698-6612
Phone (727) 736-3212

Other practice location 1

7575 Grand River Rd
Suite 209
Brighton, MI 48114-9309
Phone (810) 844-7950

Other practice location 2

26750 Providence Pkwy Ste 2017
Novi, MI 48374-1211
Phone (248) 465-4469

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Richard.Hanley@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211012001376 FL Practitioner - Family Practice 0244503043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2044 Trinity Oaks Blvd
Suite 125
Trinity, FL 34655-4405
Phone (727) 372-2501

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

2985 Drew St
Clearwater, FL 33759-3012
Phone (727) 467-4860

2995 Drew St
FL 2
Clearwater, FL 33759-3012
Phone (727) 281-9390

646 Virginia St
Dunedin, FL 34698-6612

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Clearwater, FL, CCN 109687
  • Baycare Home Care Inc Home health agency, Dunedin, FL, CCN 107415
  • Primecare Home Health Home health agency, Saint Petersburg, FL, CCN 103197
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Oct 8, 2021 Accepting new patients
Baycare Medical Group, Inc Family Medicine CurrentSince Oct 8, 2021 Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince May 26, 2024 Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Bldg 2ND
Clearwater, FL 33759

2995 Drew St
Fl 3
Clearwater, FL 33759

646 Virginia St
Ste 601
Dunedin, FL 34698
Phone (727) 736-3212

646 Virginia St
Ste 204
Dunedin, FL 34698
Phone (727) 734-9494

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601

Interoperability endpoints

  • Direct secure messaging: richard.hanley@direct.mybaycare.org
  • Direct secure messaging: rhanley603799@direct.hfhs.org

Organizations & group practices 3

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 8

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": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1467984047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 VIRGINIA ST STE 601",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986612",
            "telephone_number": "727-736-3212",
            "fax_number": "813-635-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 VIRGINIA ST STE 601",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986612",
            "telephone_number": "727-736-3212",
            "fax_number": "813-635-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7575 Grand River Rd",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149309",
            "country_code": "US",
            "telephone_number": "810-844-7950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26750 Providence Pkwy Ste 2017",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741211",
            "country_code": "US",
            "telephone_number": "248-465-4469",
            "fax_number": "248-465-4503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-01",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME152230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Richard.Hanley@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew Street",
            "address_2": "East Bldg 2nd Floor",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.