Active NPI
Brian A. Hannah, M.D.
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1548298474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD038505E
- Practice address
- Frankford Hospital Health Center Clinic
5000 Frankford Ave - 1St Floor
Philadelphia, PA 19124 - Phone
- (215) 831-2355
- Fax
- (215) 831-2017
- NPI assigned
- Jun 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD038505E | PA | Primary |
Addresses
Primary practice location
Frankford Hospital Health Center Clinic
5000 Frankford Ave - 1St Floor
Philadelphia, PA 19124
Mailing address
P. O. Box 8500 - 6395
Philadelphia, PA 19178-0001
Phone (215) 807-8000
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011937610002 | Medicaid | PA | |
| 0189637000 | Other | PA | KEYSTONE, IBC |
| 3566450 | Other | PA | CIGNA |
| 0011937610012 | Medicaid | PA | |
| PA0046718 | Other | PA | TRICARE |
| 0011937610001 | Medicaid | PA | |
| 02139 | Other | PA | HEATH PARTNERS |
| 1590009 | Other | PA | FIRST HEALTH |
| 513266 | Other | PA | HIGHMARK, BLUE SHIELD |
| 0011937610014 | Medicaid | PA | |
| 01109452 | Other | PA | KEYSTONE MERCY |
| 01193761-02 | Other | PA | AMERICHOICE |
| 110090940 | Other | PA | RAILROAD MEDICARE |
| 1829936 | Other | PA | PHCS |
| 513266 | Other | PA | PERSONAL CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD038505E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1548298474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 8500 - 6395",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "215-807-8000",
"fax_number": "215-807-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FRANKFORD HOSPITAL HEALTH CENTER CLINIC",
"address_2": "5000 FRANKFORD AVE - 1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19124",
"telephone_number": "215-831-2355",
"fax_number": "215-831-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAH",
"first_name": "BRIAN",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD038505E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011937610002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE, IBC",
"identifier": "0189637000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3566450",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011937610012",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "PA0046718",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011937610001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATH PARTNERS",
"identifier": "02139",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1590009",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK, BLUE SHIELD",
"identifier": "513266",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011937610014",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "01109452",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01193761-02",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110090940",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "1829936",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "513266",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.