Active NPI
Shahira Hanna, MD
- Obstetrics & Gynecology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME167014
- Practice address
- 1657 Trinity Dr
Pensacola, FL 32504-5708 - Phone
- (850) 416-2400
- Fax
- (850) 416-2330
- NPI assigned
- May 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME167014 | FL | Primary |
Addresses
Primary practice location
1657 Trinity Dr
Pensacola, FL 32504-5708
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00114485 | Medicaid | MS |
Other names 1
- Shahira H Kenealy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Perelman School of Med at the University of Pennsylvania, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1657 Trinity Dr
Pensacola, FL 32504-5708
Phone (850) 416-0086
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME167014 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Escambia Community Clinics Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Escambia Community Clinics Inc | Current | Accepting new patients | |
| Escambia Community Clinics, Inc | Current | Accepting new patients | |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients | |
| Ochsner Mississippi, LLC | Past | Accepting new patients | |
| Escambia Community Clinics, Inc | Past | Accepting new patients |
Locations
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
5520 Stewart St
Milton, FL 32570
Phone (850) 891-9433
1657 Trinity Dr
Pensacola, FL 32504
Phone (850) 416-2400
2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955
5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
Interoperability endpoints
- shanna@direct.mhg.com
- shahira.hanna.1@9582.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1518971597
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1841487634
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1629789466
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
-
- Federally Qualified Health Center (FQHC)
- Milton, FL
- NPI 1689864035
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1043261498
-
- Internal Medicine Physician
- Biloxi, MS
- NPI 1033704739
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1720025968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6063",
"fax_number": "904-539-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 TRINITY DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045708",
"telephone_number": "850-416-2400",
"fax_number": "850-416-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "SHAHIRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME167014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00114485",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHAHIRA",
"last_name": "KENEALY",
"middle_name": "H",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.