Active NPI
Sherry K Hanna, M.D.
- Hospitalist Physician
- Cocoa Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME131622
- Practice address
- 701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585 - Phone
- (321) 868-5871
- Fax
- (321) 868-5852
- NPI assigned
- May 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME131622 | FL | Primary |
Addresses
Primary practice location
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 868-5871
Other practice location 1
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone (321) 868-5871
Other practice location 2
3231 McMullen Booth Rd Fl 1
Safety Harbor, FL 34695-6607
Phone (727) 725-6905
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JB539Z | Other | FL | MEDICARE |
| 021779000 | Medicaid | FL |
Other names 1
- Sherien K Bottros
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Sherry.HannaMD@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131622 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Physician Offices, PA | Hospitalist | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc | Current | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
601 Main St
Dunedin, FL 34698
Phone (727) 461-1133
6600 Madison St
Fl 2
New Port Richey, FL 34652
Phone (727) 815-7207
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616
Interoperability endpoints
- sherry.hannamd@direct.mybaycare.org
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dunedin, FL
- NPI 1972501252
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- Dunedin, FL
- NPI 1336125640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1770750655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-868-5871",
"fax_number": "321-951-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W COCOA BEACH CSWY",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329313585",
"telephone_number": "321-868-5871",
"fax_number": "321-868-5852"
}
],
"practiceLocations": [
{
"address_1": "701 W Cocoa Beach Cswy",
"address_purpose": "LOCATION",
"city": "Cocoa Beach",
"state": "FL",
"postal_code": "329313585",
"country_code": "US",
"telephone_number": "321-868-5871",
"fax_number": "321-868-5852",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3231 McMullen Booth Rd Fl 1",
"address_purpose": "LOCATION",
"city": "Safety Harbor",
"state": "FL",
"postal_code": "346956607",
"country_code": "US",
"telephone_number": "727-725-6905",
"fax_number": "727-266-4931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "SHERRY",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-10",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME131622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "JB539Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021779000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sherry.HannaMD@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHERIEN",
"last_name": "BOTTROS",
"middle_name": "K",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cocoa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.