Individual provider Active NPI

Craig William Hanna, MD, PHD

  • Otolaryngology Physician
  • Providence, RI
National Provider Identifier
1669049318
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
288460 Issued in MA
Practice address
148 W River St Ste 2a
Providence, RI 02904-2615
Phone
(401) 616-1729
Fax
(401) 727-1979
NPI assigned
Jun 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 288460 MA Primary

Addresses

Primary practice location

148 W River St Ste 2a
Providence, RI 02904-2615

Mailing address

148 W River St Ste 2a
Providence, RI 02904-2615
Phone (401) 616-1729

Other practice location 1

1524 Atwood Ave Ste 231
Johnston, RI 02919-3228
Phone (401) 272-2457

Other practice location 2

2138 Mendon Rd Ste 204
Cumberland, RI 02864-3836
Phone (401) 333-8664

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tufts University School of Medicine, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

148 W River St
2A
Providence, RI 02904-2615

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288460MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ri Ear Nose & Throat Physicians Inc. Otolaryngology CurrentSince Sep 1, 2026 Accepting new patients

Locations

1524 Atwood Ave
Ste 231
Johnston, RI 02919
Phone (401) 272-2457

148 W River St
Ste 2A
Providence, RI 02904
Phone (401) 728-0140

Organizations & group practices 1

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1669049318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W RIVER ST STE 2A",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042615",
            "telephone_number": "401-616-1729",
            "fax_number": "401-727-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W RIVER ST STE 2A",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042615",
            "telephone_number": "401-616-1729",
            "fax_number": "401-727-1979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 Atwood Ave Ste 231",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193228",
            "country_code": "US",
            "telephone_number": "401-272-2457",
            "fax_number": "401-454-0349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2138 Mendon Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028643836",
            "country_code": "US",
            "telephone_number": "401-333-8664",
            "fax_number": "401-333-8669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "288460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.