Active NPI
Youssef M Hanna, MD
- Hematology & Oncology Physician
- Port Huron, MI
National Provider Identifier
1639115397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 4301061471
- Practice address
- 1231 Pine Grove Ave
Ste 2F
Port Huron, MI 48060-3500 - Phone
- (810) 982-5200
- Fax
- (810) 982-9776
- NPI assigned
- Jun 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 4301061471 | MI | Primary |
Addresses
Primary practice location
1231 Pine Grove Ave
Ste 2F
Port Huron, MI 48060-3500
Mailing address
1231 Pine Grove Ave
Suite 2F
Port Huron, MI 48060-3500
Phone (810) 982-5200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4397059 | Medicaid | MI | |
| 110G41039 | Other | MI | BCBSM |
| P115104 | Other | MI | BCN HANNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | yhanna82137@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091102000462 | MI | Practitioner - Hematology/Oncology | 5799822243 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1221 Pine Grove Ave
FL 2
Port Huron, MI 48060-3511
Phone (810) 982-5200
28100 Grand River Ave
Farmington Hills, MI 48336-5970
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535
44344 Dequindre Rd
Sterling Heights, MI 48314-1040
Hospital & facility affiliations
- Blue Water Hospice
- Beaumont Hospital, Troy
- Beaumont Hospital - Farmington Hills
- McLaren Port Huron
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.88
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients |
Locations
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
3601 W 13 Mile Rd
Royal Oak, MI 48073
3577 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-5490
44344 Dequindre Rd
Ste 330
Sterling Heights, MI 48314
Phone (248) 964-1460
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
44199 Dequindre Rd
Troy, MI 48085
Phone (248) 828-5083
Interoperability endpoints
- yhanna1236998@epic00.shdirect.org
- youssef.hanna@hmcpc.direct-geniusdoc.com
Organizations & group practices 2
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 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Port Huron, MI
- NPI 1134124613
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1639115397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 PINE GROVE AVE",
"address_2": "SUITE 2F",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603500",
"telephone_number": "810-982-5200",
"fax_number": "810-982-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 PINE GROVE AVE",
"address_2": "STE 2F",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603500",
"telephone_number": "810-982-5200",
"fax_number": "810-982-9776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "YOUSSEF",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "4301061471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4397059",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "110G41039",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN HANNA",
"identifier": "P115104",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "yhanna82137@direct.beaumont.edu",
"affiliation": "N",
"address_1": "1231 Pine Grove Ave",
"address_2": "Ste 2F",
"city": "Port Huron",
"state": "MI",
"country_code": "US",
"postal_code": "480603500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.