Individual provider Active NPI

Jason Dell Hanks, M.D.

  • Anesthesiology Physician
  • Pittsburgh, PA
National Provider Identifier
1750523643
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A122814 Issued in CA
Practice address
5528 Howe St
Apt 1
Pittsburgh, PA 15232-2343
Phone
(925) 858-1643
NPI assigned
Mar 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X A122814 CA Primary
Anesthesiology Physician 207L00000X MD446892 PA
Anesthesiology Physician 207L00000X MT201401 IL

Addresses

Primary practice location

5528 Howe St
Apt 1
Pittsburgh, PA 15232-2343

Mailing address

5528 Howe St
Apt 1
Pittsburgh, PA 15232-2343
Phone (925) 858-1643

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
I20150223000348 NY Practitioner - Anesthesiology 0547402075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

1895 Walt Whitman Rd
Suite 10
Melville, NY 11747-3031
Phone (914) 232-1919

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT201401ILMDAnesthesiology Physician
MD446892PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Jun 4, 2021 Accepting new patients
Eos Medical Group PC Past Accepting new patients
Medical Anesthesia Consultants Medical Group, Inc. Anesthesiology Past Accepting new patients
Physicians Medical PC Past Accepting new patients

Locations

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1895 Walt Whitman Rd
Ste 10
Melville, NY 11747
Phone (631) 293-9700

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1750523643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 HOWE ST",
            "address_2": "APT 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322343",
            "telephone_number": "925-858-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5528 HOWE ST",
            "address_2": "APT 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322343",
            "telephone_number": "925-858-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "JASON",
        "middle_name": "DELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A122814",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD446892",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "MT201401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.