Active NPI
John Edward Hanks, MD
- Otolaryngology Physician
- Jamaica Plain, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A163113
- Practice address
- 150 S Huntington Ave
Jamaica Plain, MA 02130-4817 - Phone
- (857) 364-3130
- NPI assigned
- Jun 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | A163113 | CA | |
| Otolaryngology Physician | 207Y00000X | A163113 | CA | Primary |
Addresses
Primary practice location
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Mailing address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Phone (857) 364-3130
Other practice location 1
1500 E Medical Center Dr
1904 Taubman Ctr, SPC 5312
Ann Arbor, MI 48109-5000
Phone (734) 763-4210
Other practice location 2
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (507) 273-3589
Other practice location 3
263 Farmington Ave
Farmington, CT 06030-8060
Phone (860) 679-2804
Other practice location 4
1115 West St
Southington, CT 06489-6025
Phone (860) 679-2408
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhanks92608@direct.med.uchc.edu | Direct | |
| Direct Messaging Address | jhanks92608@direct.med.uchc.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Minnesota Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692
Hospital & facility affiliations
- John Dempsey Hospital of the University of Connect
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A163113 | CA | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Current | Accepting new patients | |
| University of Connecticut Health Center | Current | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
1115 West St
Southington, CT 06489
Phone (860) 276-6000
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.
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Middletown, CT
- NPI 1154263713
-
- General Acute Care Hospital
- Farmington, CT
- NPI 1669466561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1679986772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304817",
"telephone_number": "857-364-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304817",
"telephone_number": "857-364-3130"
}
],
"practiceLocations": [
{
"address_1": "1500 E Medical Center Dr",
"address_2": "1904 Taubman Ctr, SPC 5312",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095000",
"country_code": "US",
"telephone_number": "734-763-4210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2315 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172201",
"country_code": "US",
"telephone_number": "507-273-3589",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060308060",
"country_code": "US",
"telephone_number": "860-679-2804",
"fax_number": "860-679-1848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1115 West St",
"address_purpose": "LOCATION",
"city": "Southington",
"state": "CT",
"postal_code": "064896025",
"country_code": "US",
"telephone_number": "860-679-2408",
"fax_number": "860-679-1179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANKS",
"first_name": "JOHN",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-05",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "CA",
"license": "A163113",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A163113",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhanks92608@direct.med.uchc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1115 West St",
"city": "Southington",
"state": "CT",
"country_code": "US",
"postal_code": "064896025",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhanks92608@direct.med.uchc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "263 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060308060",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.