Individual provider Active NPI

Thomas Andrew Hanna, M.D.

  • Family Medicine Physician
  • Mexico, NY
National Provider Identifier
1720173081
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204979 Issued in NY
Practice address
5856 Scenic Ave
Mexico, NY 13114-3013
Phone
(315) 963-4133
Fax
(315) 963-4960
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 204979 NY Primary

Addresses

Primary practice location

5856 Scenic Ave
Mexico, NY 13114-3013

Mailing address

5856 Scenic Ave
Mexico, NY 13114-3013
Phone (315) 963-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060310000055 NY Practitioner - Family Practice 1557378908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Oswego County Health Services, Inc.Group PAC ID 8426961541, 37 clinicians

Practice addresses (Care Compare)

5856 Scenic Ave
Mexico, NY 13114-3012
Phone (315) 963-4133

Hospital & facility affiliations

  • Oswego Health Home Care, LLC Home health agency, Fulton, NY, CCN 337284
  • Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
  • HCR Home Care Home health agency, East Syracuse, NY, CCN 337119
  • Hospice of Central New York Hospice, Liverpool, NY, CCN 331511
  • Oswego Hospital Hospital, Oswego, NY, CCN 330218

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Oswego County Health Services, Inc. CurrentSince Jan 2, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

26 Academy St
Mexico, NY 13114
Phone (315) 963-8400

5856 Scenic Ave
Mexico, NY 13114
Phone (315) 963-4133

61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274

Interoperability endpoints

  • Direct secure messaging: thomas.hanna@nochsi.directbygreenway.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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720173081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 SCENIC AVE",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "131143013",
            "telephone_number": "315-963-4133",
            "fax_number": "315-963-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5856 SCENIC AVE",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "131143013",
            "telephone_number": "315-963-4133",
            "fax_number": "315-963-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, NY

Sources for this page

Verify at the official NPI Registry.