Individual provider Active NPI

Steven Kent Hansen, MD

  • Diagnostic Radiology Physician
  • Merced, CA
National Provider Identifier
1639274368
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G36994 Issued in CA
Practice address
3365 G Street
Suite 100
Merced, CA 95340-0996
Phone
(209) 384-4252
Fax
(209) 384-4251
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G36994 CA Primary

Addresses

Primary practice location

3365 G Street
Suite 100
Merced, CA 95340-0996

Mailing address

3365 G St
Suite 100
Merced, CA 95340-0996
Phone (209) 384-4252

Other identifiers 1

IdentifierTypeStateIssuer
G36994MedicaidCA

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
I20081210000239 CA Practitioner - Diagnostic Radiology 7315020252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Stanford University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merced MRI Medical GroupGroup PAC ID 8527001635, 4 clinicians

Practice addresses (Care Compare)

3365 G St
Suite 100
Merced, CA 95340-0996
Phone (209) 384-2121

Merit-based Incentive Payment System (MIPS)

Final score
60 of 100Reported as group
Quality
10
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G36994CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merced MRI Medical Group CurrentSince Jun 9, 2007 Accepting new patients
Hansen Richey Radiology Medical Group Diagnostic Radiology Past Accepting new patients

Locations

245 H St
Los Banos, CA 93635

1242 D St
Merced, CA 95341
Phone (209) 384-2121

3365 G St
Ste 100
Merced, CA 95340
Phone (209) 384-2121

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1639274368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 G ST",
            "address_2": "SUITE 100",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400996",
            "telephone_number": "209-384-4252",
            "fax_number": "209-384-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 G STREET",
            "address_2": "SUITE 100",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400996",
            "telephone_number": "209-384-4252",
            "fax_number": "209-384-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "STEVEN",
        "middle_name": "KENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G36994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G36994",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.