Individual provider Active NPI

Fady Hanna, D.O.

  • Anesthesiology Physician
  • Lutz, FL
National Provider Identifier
1508306150
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS17387 Issued in FL
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

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 1153385612, 42 clinicians

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 Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17387FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Anesthesia LLC Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Bay Area Anesthesia LLC Anesthesiology CurrentSince Mar 1, 2021 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.