Individual provider Active NPI

Jameil Abou-Hanna, M.D.

  • General Practice Physician
  • Cincinnati, OH
National Provider Identifier
1881129302
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
68916 Issued in TN
Practice address
3219 Clifton Ave
Cincinnati, OH 45220-3027
Phone
(513) 853-9000
NPI assigned
Apr 21, 2017
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 68916 TN
General Practice Physician 208D00000X 68916 TN Primary

Addresses

Primary practice location

3219 Clifton Ave
Cincinnati, OH 45220-3027

Mailing address

355 New Shackle Island Rd Ste 128B
Hendersonville, TN 37075-2479

Other practice location 1

624 NE Glen Oak Ave
Peoria, IL 61603-3135
Phone (309) 655-3971

Other practice location 2

355 New Shackle Island Rd Ste 128B
Hendersonville, TN 37075-2479
Phone (309) 229-4338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN2 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
I20220727003373 OH Practitioner - General Surgery 0446524946 Reassigns benefits to 1 organization
I20231208000299 TN Practitioner - General SurgeryPractitioner - Other (Physician) 0446524946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Style Weight Loss LLCGroup PAC ID 1951750595, 5 clinicians

Practice addresses (Care Compare)

355 New Shackle Island Rd
Suite 128B
Hendersonville, TN 37075-2399
Phone (615) 492-6116

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Style Weight Loss LLC Surgery CurrentSince Nov 1, 2023 Accepting new patients
Trihealth H LLC Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

3219 Clifton Ave
Cincinnati, OH 45220
Phone (513) 624-0999

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

355 New Shackle Island Rd
Ste 128B
Hendersonvlle, TN 37075
Phone (309) 229-4338

Interoperability endpoints

  • Direct secure messaging: jameil.abou-hanna.1@29753.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1881129302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NEW SHACKLE ISLAND RD STE 128B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452203027",
            "telephone_number": "513-853-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 NE Glen Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033135",
            "country_code": "US",
            "telephone_number": "309-655-3971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 New Shackle Island Rd Ste 128B",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752479",
            "country_code": "US",
            "telephone_number": "309-229-4338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOU-HANNA",
        "first_name": "JAMEIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "68916",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "68916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.