Individual provider Active NPI

Hannah Knox, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1629562749
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
174360 Issued in CA
Practice address
1656 E Mabel St Floor 4
Tucson, AZ 85721-8119
Phone
(520) 694-3320
NPI assigned
Jun 21, 2018
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 174360 CA Primary

Addresses

Primary practice location

1656 E Mabel St Floor 4
Tucson, AZ 85721-8119

Mailing address

11908 S Carson Way
Gold River, CA 95670-8119
Phone (916) 873-5669

Other identifiers 1

IdentifierTypeStateIssuer
A174360OtherCACALIFORNIA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240823000317 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 2062899818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1162 Montgomery Dr
Suite 300
Santa Rosa, CA 95405-4802
Phone (707) 890-4250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174360CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Urgent Care LLC Current Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Aug 1, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Aug 1, 2024 Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1100 Trancas St
Ste 212A
Napa, CA 94558

1100 Trancas St
Ste 256
Napa, CA 94558
Phone (707) 253-7161

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

141 Lynch Creek Way
Ste C
Petaluma, CA 94954
Phone (707) 763-0802

1162 Montgomery Dr
Ste 300
Santa Rosa, CA 95405
Phone (707) 547-5437

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

Interoperability endpoints

  • Direct secure messaging: hannah.knox.p1@direct.smmg.nextgenshare.com
  • Direct secure messaging: hknox3399445@oc.providencedirect.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1629562749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11908 S CARSON WAY",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956708119",
            "telephone_number": "916-873-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 E MABEL ST FLOOR 4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857218119",
            "telephone_number": "520-694-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "HANNAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "174360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "A174360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.