NPIMap

Individual provider Active NPI

Hanna M Saba, MD

  • Hematology & Oncology Physician
  • Effingham, IL
National Provider Identifier
1720070386
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036118085 Issued in IL
Practice address
905 Medical Park Dr
Effingham, IL 62401
Phone
(217) 342-2066
Fax
(217) 342-2074
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X E3731 AR
Hematology & Oncology Physician 207RH0003X 036118085 IL Primary
Medical Oncology Physician 207RX0202X 036118085 IL

Addresses

Primary practice location

905 Medical Park Dr
Effingham, IL 62401

Mailing address

210 W. McKinley Ave
Ste 1
Decatur, IL 62526
Phone (217) 876-6600

Other identifiers 2

IdentifierTypeStateIssuer
036118085MedicaidIL
036118085OtherILSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000120 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0941190649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

905 Medical Park Dr
Effingham, IL 62401-2190
Phone (217) 342-2066

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036118085ILMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Specialists of Central Illinois, S.C CurrentSince Jun 1, 2007 Accepting new patients
Cancer Care Specialists of Central Illinois, S.C. Hematology & Oncology CurrentSince Jun 1, 2007 Accepting new patients
Crossett Health Foundation Hematology & Oncology Past Accepting new patients
Crossett Health Foundation Past Accepting new patients
Crossett Health Foundation Past Accepting new patients

Locations

210 W McKinley Ave
#1
Decatur, IL 62526
Phone (217) 877-9442

210 W McKinley Ave
Ste 1
Decatur, IL 62526
Phone (217) 876-6600

905 Medical Park Dr
Effingham, IL 62401
Phone (217) 342-2066

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1720070386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W. MCKINLEY AVE",
            "address_2": "STE 1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-876-6600",
            "fax_number": "217-876-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MEDICAL PARK DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-342-2066",
            "fax_number": "217-342-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABA",
        "first_name": "HANNA",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E3731",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036118085",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036118085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118085",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "036118085",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.