Individual provider Active NPI

Wael Adel Samuel Hanna, M.D.

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1932339868
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
S7227 Issued in TX
Practice address
1411 N Beckley Ave Ste 370
Dallas, TX 75203-1513
Phone
(214) 358-2300
Fax
(214) 579-6983
NPI assigned
Jul 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X S7227 TX Primary
Internal Medicine Physician 207R00000X S7227 TX

Addresses

Primary practice location

1411 N Beckley Ave Ste 370
Dallas, TX 75203-1513

Mailing address

1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300

Other practice location 1

1150 N Bishop Ave Ste 100
Dallas, TX 75208-4168
Phone (214) 358-2300

Other practice location 2

3604 Live Oak St Ste 100
Dallas, TX 75204-6169
Phone (214) 358-2300

Other identifiers 1

IdentifierTypeStateIssuer
S7227OtherTXTX MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 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
I20120822000197 PA Practitioner - HospitalistPractitioner - Internal Medicine 5991952244 Reassigns benefits to 2 organizations
I20200714000378 TX Practitioner - NephrologyPractitioner - Internal Medicine 5991952244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians
Physician Associates of Southwest DallasGroup PAC ID 3274519293, 37 clinicians
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1070 N Westmoreland Rd
Dallas, TX 75211-2444
Phone (972) 613-7415

1150 N Bishop Ave
Suite 200
Dallas, TX 75208-4168
Phone (972) 423-0637

122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6700

1411 N Beckley Ave
Dallas, TX 75203-1259
Phone (214) 358-2300

1411 N Beckley Ave
Suite 268
Dallas, TX 75203-1260
Phone (214) 947-4400

1625 N Story Rd
Suite 140
Irving, TX 75061-1954
Phone (972) 871-8282

301 W Colorado Blvd
Dallas, TX 75208-2329
Phone (214) 947-8181

3604 Live Oak St
Suite 100
Dallas, TX 75204-6169
Phone (214) 358-2300

4510 Medical Ctr Dr
Suite 210
McKinney, TX 75069-1602
Phone (214) 358-2300

655 W Illinois Ave
Suite 740
Dallas, TX 75224-1814
Phone (214) 943-7065

Hospital & facility affiliations

  • Kessler Park Regional Dialysis Center Dialysis facility, Dallas, TX, CCN 672831
  • South Oak Cliff Dialysis Center Dialysis facility, Dallas, TX, CCN 452687
  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • Ascension Providence Hospital, Waco, TX, CCN 450042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S7227TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Family Medicine Current Accepting new patients
Medhealth CurrentSince Sep 1, 2020 Accepting new patients
Pinnacle Health Hospitalist Services LLC Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Dallas Nephrology Associates Nephrology CurrentSince Aug 1, 2020 Accepting new patients
Dallas Nephrology Associates CurrentSince Aug 1, 2020 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2012 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2012 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

4000 Linglestown Rd
Linglestown, PA 17112
Phone (717) 231-8867

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

6833 Plum Creek Dr
Amarillo, TX 79124
Phone (806) 467-1895

122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555

1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200

1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

1420 Viceroy Dr
Dallas, TX 75235

1411 N Beckley Ave
Ste 370
Dallas, TX 75203

1411 N Beckley Ave
Ste 268
Dallas, TX 75203

3604 Live Oak St
Ste 100
Dallas, TX 75204

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: whanna52379@direct.acumenmd.com
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 10

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 4

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": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1932339868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 370",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031513",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N Bishop Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752084168",
            "country_code": "US",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3604 Live Oak St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752046169",
            "country_code": "US",
            "telephone_number": "214-358-2300",
            "fax_number": "214-366-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "WAEL",
        "middle_name": "ADEL SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "S7227",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S7227",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE",
            "identifier": "S7227",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.