Individual provider Active NPI

Hanane Chichane, MD

  • Psychiatry Physician
  • Burleson, TX
National Provider Identifier
1689677957
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M1052 Issued in TX
Practice address
115 NW Newton Dr Ste C
Burleson, TX 76028-4793
Phone
(817) 426-3323
Fax
(817) 426-3353
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Psychiatry Physician 2084P0800X M1052 TX Primary

Addresses

Primary practice location

115 NW Newton Dr Ste C
Burleson, TX 76028-4793

Mailing address

PO Box 1899
Burleson, TX 76097-1899
Phone (817) 426-3323

Other identifiers 3

IdentifierTypeStateIssuer
174942602MedicaidTX
8CD160OtherTXBCBS
174942603MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051117000865 TX Practitioner - Psychiatry 6709805807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

115 NW Newton Dr
Suite C
Burleson, TX 76028-4793
Phone (817) 426-3323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1052TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hanane Chichane, MD,PA Psychiatry CurrentSince Sep 15, 2009 Accepting new patients
Khalid Bazir MD PA Past Accepting new patients

Locations

115 NW Newton Dr
Ste C
Burleson, TX 76028
Phone (817) 426-3323

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1689677957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1899",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760971899",
            "telephone_number": "817-426-3323",
            "fax_number": "817-426-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NW NEWTON DR STE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284793",
            "telephone_number": "817-426-3323",
            "fax_number": "817-426-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICHANE",
        "first_name": "HANANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M1052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174942602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CD160",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174942603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.