Karl Neal Hanson, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

L017687 Issued in LA

Practice address

200 W Esplanade Ave
Ste 307
Kenner, LA 70065-2474

Phone

(504) 467-3404

Fax

(504) 467-3244

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2019 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ochsner Medical Center - Kenner, L.L.C.

  • General Acute Care Hospital
  • Kenner, LA
  • NPI 1710097936
  NPD (past)
• Suleman Primary Care LLC

  • Primary Care Clinic/Center
  • Kenner, LA
  • NPI 1538739016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1619971074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "STE 307",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652474",
            "telephone_number": "504-467-3404",
            "fax_number": "504-467-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "STE 307",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652474",
            "telephone_number": "504-467-3404",
            "fax_number": "504-467-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KARL",
        "middle_name": "NEAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "LA",
            "license": "L017687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1374776",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Habilitative Program Management, Inc
• Isaac Hallak, PHARMACIST
• Nadia Halum, PHARMD.
• Hassan Hamide, PHARMD
• Michael S Hanemann, MD
• Kyle Ittmann Happel, MD
• Elaine V Harmon, NURSE PRACTITIONER
• Jakayla Marie Harrell-Mohamed, MD
• John Neville Harrington Jr., MD
• Holly Harris, FNP-C

• Adult Medicine Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Adult Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.