Individual provider Active NPI

Sherif Hanna

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1922405935
Registry record updated Sep 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101262796 Issued in VA
Practice address
760 Broadway , Brooklyn
Brooklyn, NY 11206
Phone
(718) 963-7956
NPI assigned
Nov 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 0101262796 VA Primary

Addresses

Primary practice location

760 Broadway , Brooklyn
Brooklyn, NY 11206

Mailing address

1859 Putnam Ave
Ridgewood, NY 11385-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, AZ2 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
I20230825000318 ME Practitioner - Pediatric Medicine 6608136379 Reassigns benefits to 1 organization
I20251125004780 AZ Practitioner - Pediatric Medicine 6608136379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1851 Mesquite Ave
Suite 202
Lake Havasu City, AZ 86403-5681

4611 E Palo Vewrde Dr
Phoenix, AZ 85018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101262796VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pines Health Services CurrentSince Aug 1, 2023 Accepting new patients
Pines Health Services Pediatrics CurrentSince Aug 1, 2023 Accepting new patients
HRMC, LLC Current Accepting new patients
HRMC, LLC Pediatrics CurrentSince Aug 29, 2025 Accepting new patients
HRMC, LLC CurrentSince Aug 29, 2025 Accepting new patients
Pines Health Services Pediatrics Past Accepting new patients
HRMC, LLC Past Accepting new patients
Havasu Regional Medical Center LLC Past Accepting new patients
Charles Cole Memorial Hospital Past Accepting new patients

Locations

1851 Mesquite Ave
Ste 202
Lk Havasu Cty, AZ 86403
Phone (928) 854-0094

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

163 Van Buren Rd
Ste 4
Caribou, ME 04736
Phone (207) 492-3451

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

Interoperability endpoints

  • Direct secure messaging: sherif.hanna.1@19231.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hanna.sherif@upmcdirect.com
  • Direct secure messaging: shanna110744@upmc.direct-ci.com

Organizations & group practices 9

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504396800000",
    "number": "1922405935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 PUTNAM AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY , BROOKLYN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-963-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "SHERIF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2017-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101262796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.