Individual provider Active NPI

William Dominic Hanna, MD

  • Pulmonary Disease Physician
  • Roseville, MI
National Provider Identifier
1740246222
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
WH045614 Issued in MI
Practice address
25990 Kelly Rd Ste 4
Roseville, MI 48066-4483
Phone
(586) 774-3780
Fax
(586) 774-0098
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X WH045614 MI Primary

Addresses

Primary practice location

25990 Kelly Rd Ste 4
Roseville, MI 48066-4483

Mailing address

25990 Kelly Rd Ste 4
Roseville, MI 48066-4483
Phone (586) 774-3780

Other identifiers 3

IdentifierTypeStateIssuer
290501782OtherMIBCBSM
P00282000OtherMIRAILROAD MEDICARE PIN
4816147MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060112000506 MI Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4284657669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25990 Kelly Rd
Suite 4
Roseville, MI 48066-4483
Phone (586) 774-3780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
40.18 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
92.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WH045614MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William D Hanna MD PC Pulmonary Disease CurrentSince Oct 14, 2005 Accepting new patients

Locations

468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000

25990 Kelly Rd
Ste 4
Roseville, MI 48066
Phone (586) 771-3550

25869 Kelly Rd
Ste C
Roseville, MI 48066
Phone (586) 774-0361

Interoperability endpoints

  • Direct secure messaging: whanna1131294@direct.hfhs.org

Organizations & group practices 1

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1740246222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25990 KELLY RD STE 4",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664483",
            "telephone_number": "586-774-3780",
            "fax_number": "586-774-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25990 KELLY RD STE 4",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664483",
            "telephone_number": "586-774-3780",
            "fax_number": "586-774-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "WILLIAM",
        "middle_name": "DOMINIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "WH045614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "290501782",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00282000",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4816147",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.