Individual provider Active NPI

Hanano Watanabe

  • Pediatric Cardiology Physician
  • New York, NY
National Provider Identifier
1700220191
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
277194 Issued in NY
Practice address
525 E 68TH St # M622
New York, NY 10065-4870
Phone
(212) 746-3561
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 277194 NY Primary

Addresses

Primary practice location

525 E 68TH St # M622
New York, NY 10065-4870

Mailing address

575 Lexington Ave
New York, NY 10022-6102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200707001537 NY Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 3870830383 Reassigns benefits to 6 organizations
I20240917002896 MA Practitioner - Pediatric Medicine 3870830383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Weill Medical College of Cornell Pediatric Cardiology CurrentSince Jul 9, 2023 Accepting new patients
New York University CurrentSince Oct 1, 2020 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Mar 14, 2020 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
NYU Langone Hospitals CurrentSince Jan 11, 2021 Accepting new patients
New York University CurrentSince Oct 1, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 9, 2023 Accepting new patients
Memorial Pediatric Group CurrentSince Feb 21, 2023 Accepting new patients
Pratt Pediatric Associates Inc Pediatric Cardiology CurrentSince Sep 1, 2024 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
NYU Langone Hospitals CurrentSince Jan 11, 2021 Accepting new patients
MMC Pediatrics Faculty Practice Pediatric Cardiology CurrentSince Jul 1, 2020 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

7 Alfred St
Ste 205
Woburn, MA 01801
Phone (781) 897-0240

4508 16th Ave
Brooklyn, NY 11204
Phone (718) 972-8018

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

525 E 68th St
#M622
New York, NY 10065
Phone (212) 746-3400

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

160 E 32nd St
New York, NY 10016
Phone (212) 263-5940

525 E 68th St
#610
New York, NY 10065

525 E 68th St
#M6
New York, NY 10065
Phone (212) 746-3558

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: hananowatanabe@mai.allscriptsdirect.net
  • Direct secure messaging: hwatanabe1666108@nychhc.direct-ci.com
  • Direct secure messaging: hanano.watanabe@chn.eclinicaldirectplus.com
  • Direct secure messaging: hwatanabe115386@tuftsmedicine.direct-ci.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1700220191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST # M622",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATANABE",
        "first_name": "HANANO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "277194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.