Individual provider Active NPI

Nagui Y. Hanna, M.D.

  • Emergency Medicine Physician
  • Lockport, IL
National Provider Identifier
1477578920
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036068369 Issued in IL
Practice address
16221 W 159TH St
Suite 101
Lockport, IL 60441-7959
Phone
(815) 588-1111
Fax
(815) 838-4305
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036068369 IL Primary
Pediatrics Physician 208000000X 036-068369 IL

Addresses

Primary practice location

16221 W 159TH St
Suite 101
Lockport, IL 60441-7959

Mailing address

16221 W 159TH St
Suite 101
Lockport, IL 60441-7959
Phone (815) 588-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050401000514 IL Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 8123075140 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pediatric Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lockport Express Medical Group Inc 6 clinicians

Practice addresses (Care Compare)

16221 W 159TH St
Lockport, IL 60441-7959
Phone (815) 588-1111

Hospital & facility affiliations

  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013
  • Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-068369ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Central Emergency Physicians, LLP Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2024 Accepting new patients
McDonough County Hospital District CurrentSince May 27, 2013 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Crawford Hospital District CurrentSince Jan 17, 2025 Accepting new patients
Epss Peoria LLC Emergency Medicine CurrentSince Oct 15, 2012 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Crawford Hospital District CurrentSince Jan 17, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 27, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Carle Health Care Incorporated Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Crawford Hospital District Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2024 Accepting new patients
Emergency Services Midwest SC Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2024 Accepting new patients
Great Lakes Emergency Physicians Medical Group SC Emergency Medicine CurrentSince Dec 2, 2019 Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District Emergency Medicine CurrentSince May 27, 2013 Accepting new patients
Foundation for Emergency Services Emergency Medicine Past Accepting new patients
Emergency Care Physician Services-Blue Island LTD Emergency Medicine Past Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine Past Accepting new patients
Unimed, LTD Past Accepting new patients
Lafountain Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Epmg of Illinois LLC Emergency Medicine Past Accepting new patients
Foundation for Emergency Services Past Accepting new patients
Emergency Care Physician Services Emergency Medicine Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine Past Accepting new patients

Locations

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
  • Direct secure messaging: naguihanna@jph.medalliesdirect.net

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 6

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1477578920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16221 W 159TH ST",
            "address_2": "SUITE 101",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604417959",
            "telephone_number": "815-588-1111",
            "fax_number": "815-838-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16221 W 159TH ST",
            "address_2": "SUITE 101",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604417959",
            "telephone_number": "815-588-1111",
            "fax_number": "815-838-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "NAGUI",
        "middle_name": "Y.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036068369",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-068369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

Verify at the official NPI Registry.