Individual provider Active NPI

Anis Hanna, MD

  • Specialist
  • Tucson, AZ
National Provider Identifier
1639136245
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32219 Issued in AZ
Practice address
3040 N Swan Rd, Ste B
Tucson, AZ 85712-1206
Phone
(520) 327-3454
Fax
(520) 327-3431
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 32219 AZ
Specialist 174400000X 32219 AZ Primary

Addresses

Primary practice location

3040 N Swan Rd, Ste B
Tucson, AZ 85712-1206

Mailing address

3040 N Swan Rd, Ste B
Tucson, AZ 85712-1206
Phone (520) 327-3454

Other practice location 1

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-5065

Other identifiers 1

IdentifierTypeStateIssuer
861452-01MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040707001046 AZ Practitioner - GastroenterologyPractitioner - Internal Medicine 9537146519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Gastroenterology Specialists, PC 6 clinicians
TMC Medical Network 276 clinicians

Practice addresses (Care Compare)

3040 N Swan Rd
Suite B
Tucson, AZ 85712-1206
Phone (520) 327-3454

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-4230

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy293
Upper gastrointestinal (GI) endoscopy for acid reflux238

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Apr 1, 2022 Accepting new patients
Arizona Community Gastroenterology, PLC Gastroenterology Current Accepting new patients
Tucson Gastroenterology Specialists, PC Specialist CurrentSince Jan 4, 2016 Accepting new patients

Locations

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5301 E Grant Rd
Unit 600
Tucson, AZ 85712

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

3040 N Swan Rd
Ste B
Tucson, AZ 85712
Phone (520) 327-3454

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60342

Organizations & group practices 3

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 1

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1639136245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 N SWAN RD, STE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121206",
            "telephone_number": "520-327-3454",
            "fax_number": "520-327-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 N SWAN RD, STE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121206",
            "telephone_number": "520-327-3454",
            "fax_number": "520-327-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122805",
            "country_code": "US",
            "telephone_number": "520-324-5065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "ANIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2024-03-13",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "32219",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "32219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861452-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.