Active NPI
Fady Hanna, D.O.
- Anesthesiology Physician
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS17387
- Practice address
- 4211 Van Dyke Rd
Lutz, FL 33558-8005 - Phone
- (918) 599-1000
- NPI assigned
- Mar 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OS17387 | FL | Primary |
Addresses
Primary practice location
4211 Van Dyke Rd
Lutz, FL 33558-8005
Mailing address
5085 Night Star TRL
Odessa, FL 33556-4576
Phone (727) 858-0860
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210302001948 | FL | Practitioner - Anesthesiology | 4587070370 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bay Area Anesthesia LLC
Practice addresses (Care Compare)
4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (954) 939-5000
8787 Bryan Dairy Rd
Suite 300
Largo, FL 33777-1252
Phone (954) 939-5000
Hospital & facility affiliations
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS17387 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Bay Area Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
Locations
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
8787 Bryan Dairy Rd
Ste 300
Seminole, FL 33777
Phone (727) 394-5300
4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800
2020 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4055
Interoperability endpoints
- fhanna209922@ahs.direct-ci.com
Organizations & group practices 2
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 2
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": "1488326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1508306150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5085 NIGHT STAR TRL",
"city": "ODESSA",
"state": "FL",
"postal_code": "335564576",
"telephone_number": "727-858-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 VAN DYKE RD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335588005",
"telephone_number": "918-599-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "FADY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-01",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "OS17387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.