Active NPI
Jason D Hanna, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 01067408A
- Practice address
- 7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133 - Phone
- (260) 436-8686
- Fax
- (260) 436-8585
- NPI assigned
- Feb 5, 2007
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01067408A | IN | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 01067408A | IN | Primary |
Addresses
Primary practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Mailing address
PO Box 2526
Fort Wayne, IN 46801-2526
Phone (260) 436-8686
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000715196 | Other | ANTHEM | |
| P00999004 | Other | RAILROAD MEDICARE | |
| 201029320 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110713000793 | IN | Practitioner - Orthopedic Surgery | 7012185218 | Reassigns benefits to 3 organizations |
| I20170501002533 | OH | Practitioner - Orthopedic Surgery | 7012185218 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Indiana University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10106 Dupont Circle Dr E
Suite 150
Fort Wayne, IN 46825-1640
Phone (800) 566-5659
1032 W Wayne St
Paulding, OH 45879-1545
Phone (800) 566-5659
1035 W Wayne St
Paulding, OH 45879-1544
Phone (260) 436-8686
1316 E 7TH St
2 Fort Wayne Orthopaedics LLC Auburn
Auburn, IN 46706-2523
Phone (260) 927-1410
208 Columbus St
Hicksville, OH 43526-1250
Phone (800) 566-5659
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
7619 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Hospital & facility affiliations
- The Orthopaedic Hospital of Lutheran Health Networ
- Paulding County Hospital
- Cameron Health
- Lutheran Hospital of Indiana
- Insight Hospital and Medical Center Coldwater
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.85 of 100
- Promoting interoperability
- 81
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 20 |
| Knee replacement | 31 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067408A | IN | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Cameron Memorial Community Hospital, Inc. | Current | Accepting new patients | |
| Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Fort Wayne Orthopaedics LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Cameron Memorial Community Hospital, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
Locations
306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335
306 E Maumee St
Ste 301
Angola, IN 46703
Phone (260) 665-1670
306 E Maumee St
Ste 304
Angola, IN 46703
Phone (260) 667-5556
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
1316 E 7th St
Ste 2
Auburn, IN 46706
Phone (260) 927-0035
820 Smaltz Way
Ste B
Auburn, IN 46706
Phone (260) 432-1800
820 Smaltz Way
Auburn, IN 46706
Phone (260) 909-6430
7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254
10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825
4900 Beaner Blvd
Gas City, IN 46933
Phone (765) 573-0725
8450 Northwest Blvd
Indianapolis, IN 46278
701 Orthopaedic Dr
Ste 100
Warsaw, IN 46582
701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582
208 Columbus St
Hicksville, OH 43526
Phone (419) 542-6692
1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080
1032 W Wayne St
Paulding, OH 45879
Phone (419) 399-1104
Interoperability endpoints
- jhanna5099@direct.parkviewexchange.com
- jason.hanna.p1@direct.fwortho.nextgenshare.com
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1497758429
IN, OH, Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
IN, OH, Orthopaedic Surgery
-
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
IN, Orthopaedic Surgery
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
- Durable Medical Equipment & Medical Supplies
- Gas City, IN
- NPI 1699425082
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Greencastle, IN
- NPI 1427109362
Orthopaedic Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
Hospital
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
Hospital
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1609915032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2526",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468012526",
"telephone_number": "260-436-8686",
"fax_number": "260-436-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044133",
"telephone_number": "260-436-8686",
"fax_number": "260-436-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "JASON",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01067408A",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IN",
"license": "01067408A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000715196",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00999004",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201029320",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.