Active NPI
Carl Robert Hannah, M.D
- Family Medicine Physician
- Christiansburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101235860
- Practice address
- 6 Hickok St
Christiansburg, VA 24073-3524 - Phone
- (540) 383-6148
- Fax
- (540) 382-4191
- NPI assigned
- Apr 6, 2006
- Last updated
- Jan 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101235860 | VA | Primary |
Addresses
Primary practice location
6 Hickok St
Christiansburg, VA 24073-3524
Mailing address
6 Hickok St
Christiansburg, VA 24073-3524
Phone (540) 383-6148
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010098891 | Other | VA | VIRGINIA PREMIER |
| 3131709 | Other | VA | MAMSI PROVIDER NUMBER |
| 245710 | Other | VA | SOUTHERN HEALTH PROVIDER |
| 144661 | Other | VA | ANTHEM PROVIDER NUMBER |
| 2065534 | Other | VA | UNITED HEALTHCARE |
| 5389156 | Other | VA | AETNA PROVIDER NUMBER |
| P00240702 | Other | VI | MEDICARE RAILROAD |
| 010098891 | Medicaid | VA | |
| 1700848363 | Medicaid | VA | |
| 7161454 | Other | VA | CIGNA PROVIDER NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CARL.HANNAH@hca6.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Family Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Hickok St
Christiansburg, VA 24073-3546
Phone (540) 381-1882
Hospital & facility affiliations
- Centerwell Home Health
- Good Samaritan Hospice Inc
- Lewisgale Hospital Montgomery
- Carilion New River Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.25 of 100
- Quality
- 82.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 64.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101235860 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Medical Services Corporation LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- carl.hannah@hca6.eclinicaldirectplus.com
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.
-
- Internal Medicine Physician
- Salem, VA
- NPI 1902977705
-
dba Kelly Medical Corporation
- Emergency Medicine Physician
- Welch, WV
- NPI 1033154810
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Christiansburg, VA
- NPI 1376536573
-
dba CenterWell Home Health
- Home Health Agency
- Roanoke, VA
- NPI 1124059688
-
- Community Based Hospice Care Agency
- Roanoke, VA
- NPI 1548268923
-
dba Lewisgale Hospital Montgomery
- General Acute Care Hospital
- Blacksburg, VA
- NPI 1275570376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1700848363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 HICKOK ST",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240733524",
"telephone_number": "540-383-6148",
"fax_number": "540-382-4191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 HICKOK ST",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240733524",
"telephone_number": "540-383-6148",
"fax_number": "540-382-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAH",
"first_name": "CARL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101235860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER",
"identifier": "010098891",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER NUMBER",
"identifier": "3131709",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH PROVIDER",
"identifier": "245710",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "144661",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2065534",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "5389156",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00240702",
"state": "VI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010098891",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700848363",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "7161454",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CARL.HANNAH@hca6.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "6 Hickok St",
"city": "Christiansburg",
"state": "VA",
"country_code": "US",
"postal_code": "240733524",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.