Individual provider Active NPI

Jason D Hanna, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Fort Wayne, IN
National Provider Identifier
1609915032
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
01067408A Issued in IN
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

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000715196OtherANTHEM
P00999004OtherRAILROAD MEDICARE
201029320MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians
Fort Wayne Orthopaedics, LLCGroup PAC ID 7618965286, 65 clinicians

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 Hospital, Ft Wayne, IN, CCN 150168
  • Paulding County Hospital Hospital, Paulding, OH, CCN 361300
  • Cameron Health Hospital, Angola, IN, CCN 151315
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Promoting interoperability
81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement31
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

LicenseStateTypeSpecialty
01067408AINMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc Orthopaedic Surgery CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Orthopaedic Surgery Current Accepting new patients
Cameron Memorial Community Hospital, Inc. CurrentSince Jan 28, 2025 Accepting new patients
Fort Wayne Orthopaedics, LLC Orthopaedic Surgery CurrentSince Aug 1, 2011 Accepting new patients
Fort Wayne Orthopaedics LLC Orthopaedic Surgery CurrentSince Aug 1, 2011 Accepting new patients
Cameron Memorial Community Hospital, Inc Orthopaedic Surgery CurrentSince Jan 28, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Orthopaedic Surgery CurrentSince Jul 1, 2025 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

  • Direct secure messaging: jhanna5099@direct.parkviewexchange.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.