Individual provider Active NPI

Sherry K Hanna, M.D.

  • Hospitalist Physician
  • Cocoa Beach, FL
National Provider Identifier
1770750655
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME131622 Issued in FL
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

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
JB539ZOtherFLMEDICARE
021779000MedicaidFL

Other names 1

  • Sherien K Bottros Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120413000448 NJ Practitioner - Family Practice 6709047038 Reassigns benefits to 1 organization
I20170915003065 FL Practitioner - Hospitalist 6709047038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

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

LicenseStateTypeSpecialty
ME131622FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Physician Offices, PA Hospitalist CurrentSince Aug 7, 2017 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Sep 18, 2017 Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients
Baycare Medical Group, Inc CurrentSince Sep 18, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.