Individual provider Active NPI

Hannah Y Bae, MD

  • Diagnostic Radiology Physician
  • Haverford, PA
National Provider Identifier
1770632168
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
46017 Issued in AZ
Practice address
5 Craig LN
Haverford, PA 19041-1014
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA08476700 NJ
Diagnostic Radiology Physician 2085R0202X MD431699 PA
Diagnostic Radiology Physician 2085R0202X 46017 AZ Primary

Addresses

Primary practice location

5 Craig LN
Haverford, PA 19041-1014

Mailing address

5 Craig LN
Haverford, PA 19041-1014
Phone (215) 990-8761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA, TX, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080423000029 PA Practitioner - Diagnostic Radiology 4082792676 Reassigns benefits to 10 organizations
I20161014002067 CA Practitioner - Diagnostic Radiology 4082792676 Reassigns benefits to 3 organizations
I20240217000258 TX Practitioner - Diagnostic Radiology 4082792676 Reassigns benefits to 2 organizations
I20240424001089 AZ Practitioner - Diagnostic Radiology 4082792676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Haverford, PA 19041
Phone (585) 218-8006

8750 Wilshire Blvd
Suite 100
Beverly Hills, CA 90211-2708
Phone (310) 689-3100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD431699PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix Area Family Medicine CurrentSince Jan 14, 2024 Accepting new patients
Enloe Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Banner Imaging Services LLC CurrentSince May 9, 2024 Accepting new patients
Icardio Corporation a Medical Corporation CurrentSince Jan 1, 2016 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Sep 30, 2024 Accepting new patients
X-Ray Professional Association Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Nov 20, 2020 Accepting new patients
CMSC, LLC CurrentSince Feb 5, 2024 Accepting new patients
Enloe Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince May 1, 2019 Accepting new patients
Oroville Hospital CurrentSince Mar 29, 2017 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 2, 2024 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Banner Imaging Services LLC Nuclear Radiology CurrentSince May 9, 2024 Accepting new patients
Jason L Hwang MD Inc Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Radiology Group of Abington PC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
White Mountain Radiology Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Banner Imaging Services LLC Nuclear Radiology Current Accepting new patients
Oroville Hospital CurrentSince Mar 29, 2017 Accepting new patients
Enloe Medical Center Past Accepting new patients
Diagnostic Imaging of South Jersey PC Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Inc Diagnostic Radiology Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations (25 of 30)

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018

7400 N Dobson Rd
Ste 102
Scottsdale, AZ 85256

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 532-5848

14420 W Meeker Blvd
Ste A101
Sun City West, AZ 85375
Phone (623) 524-4016

1840 E Warner Rd
Ste 114
Tempe, AZ 85284
Phone (480) 768-2800

8750 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 385-7747

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4640 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 836-4700

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2428 Santa Monica Blvd
Ste 100
Santa Monica, CA 90404
Phone (310) 264-1777

1839 N Government Way
Ste B
Coeur D Alene, ID 83814
Phone 20844919312

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

14 Maple St
Ste 100
Gilford, NH 03249
Phone (603) 524-4220

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1770632168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CRAIG LN",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411014",
            "telephone_number": "215-990-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CRAIG LN",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411014",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "HANNAH",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08476700",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD431699",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "46017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

Verify at the official NPI Registry.