Active NPI
Christian Matthew Hannah, MD
- Internal Medicine Physician
- Independence, MO
National Provider Identifier
1518655166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2026001047
- Practice address
- 4801 S Cliff Ave Ste 300
Independence, MO 64055-6954 - Phone
- (816) 251-5200
- Fax
- (816) 251-5299
- NPI assigned
- May 1, 2023
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125081780 | IL | |
| Internal Medicine Physician | 207R00000X | 2026001047 | MO | Primary |
Addresses
Primary practice location
4801 S Cliff Ave Ste 300
Independence, MO 64055-6954
Mailing address
4801 S Cliff Ave Ste 300
Independence, MO 64055-6954
Phone (816) 251-5200
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 |
|---|---|---|---|---|
| I20230706001009 | IL | Order and Referring Only - Internal Medicine | 8022477280 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- christian.hannah.1@3547.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1518655166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 S CLIFF AVE STE 300",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556954",
"telephone_number": "816-251-5200",
"fax_number": "816-251-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S CLIFF AVE STE 300",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556954",
"telephone_number": "816-251-5200",
"fax_number": "816-251-5299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAH",
"first_name": "CHRISTIAN",
"middle_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-01",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125081780",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2026001047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.