Active NPI
Nagui Y. Hanna, M.D.
- Emergency Medicine Physician
- Lockport, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036068369
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050401000514 | IL | Practitioner - Emergency Medicine | 8123075140 | Reassigns benefits to 11 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lockport Express Medical Group Inc
Practice addresses (Care Compare)
16221 W 159TH St
Lockport, IL 60441-7959
Phone (815) 588-1111
Hospital & facility affiliations
- Carle Health Proctor Hospital
- Crawford Memorial Hospital
- Silver Cross Hospital and Medical Centers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-068369 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Central Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| McDonough County Hospital District | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Epss Peoria LLC | Emergency Medicine | Current | Accepting new patients |
| McDonough County Hospital District | Current | Accepting new patients | |
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Carle Health Care Incorporated | Emergency Medicine | Current | Accepting new patients |
| Crawford Hospital District | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Emergency Services Midwest SC | Emergency Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Great Lakes Emergency Physicians Medical Group SC | Emergency Medicine | Current | 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 | Current | 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
- https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
- 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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1093162836
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1174024806
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1689212581
Emergency Medicine, IL
-
- Urology Physician
- Newton, IL
- NPI 1265309405
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
Hospital
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.