Individual provider Active NPI

Hannah K Bosaw, MD

  • Family Medicine Physician
  • Carmi, IL
National Provider Identifier
1568147676
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036178486 Issued in IL
Practice address
1338 Il Highway 1 Ste a
Carmi, IL 62821-4902
Phone
(618) 370-9321
NPI assigned
Jun 16, 2023
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036178486 IL Primary
Family Medicine Physician 207Q00000X 11023002A IN

Addresses

Primary practice location

1338 Il Highway 1 Ste a
Carmi, IL 62821-4902

Mailing address

1338 Il Highway 1 Ste a
Carmi, IL 62821-4902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230919002450 IN Order and Referring Only - Family PracticePractitioner - Family Practice 4789048083

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 W Jefferson St
Louisville, KY 40202-2823

7755 Ringgold Rd
Shawneetown, IL 62984-4502

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036178486ILMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: hbosaw232278@direct.deaconess.com

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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1568147676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 IL HIGHWAY 1 STE A",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628214902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 IL HIGHWAY 1 STE A",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628214902",
            "telephone_number": "618-370-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSAW",
        "first_name": "HANNAH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036178486",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11023002A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmi, IL

Sources for this page

Verify at the official NPI Registry.