Individual provider Active NPI

James Hanna II, MD

  • Internal Medicine Physician
  • Pontiac, MI
National Provider Identifier
1962818583
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301106232 Issued in MI
Practice address
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone
(248) 858-3000
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301106232 MI Primary

Addresses

Primary practice location

44405 Woodward Ave
Pontiac, MI 48341-5023

Mailing address

1180 Doris Rd Apt 223
Auburn Hills, MI 48326-2615

Other identifiers 1

IdentifierTypeStateIssuer
207R00000XMedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MI2 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
I20170627000082 SC Practitioner - Internal Medicine 0547586430 Reassigns benefits to 2 organizations
I20230207001476 MI Practitioner - NephrologyPractitioner - Internal Medicine 0547586430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Kidney Consultants PCGroup PAC ID 1052207115, 45 clinicians

Practice addresses (Care Compare)

4600 Investment Dr
Suite 290
Troy, MI 48098-6374
Phone (248) 267-5010

Hospital & facility affiliations

  • DaVita Macomb Kidney Center Dialysis facility, Warren, MI, CCN 232540
  • FMC Dialysis - Clinton Dialysis facility, Clinton Township, MI, CCN 232554
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Select Specialty Hospital-Macomb County Long-term care hospital, Mount Clemens, MI, CCN 232023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of South Carolina PC Internal Medicine CurrentSince Sep 18, 2019 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Michigan Kidney Consultants, P.C. Nephrology CurrentSince Apr 1, 2023 Accepting new patients

Locations

24623 Greenfield Rd
Southfield, MI 48075
Phone (248) 557-3655

5280 Metropolitan Pkwy
Sterling Heights, MI 48310
Phone (586) 446-8688

4600 Investment Dr
Ste 29
Troy, MI 48098
Phone (248) 267-5010

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: jhanna722718@direct.hfhs.org
  • Direct secure messaging: jhanna54729@direct.acumenmd.com

Organizations & group practices 3

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 6

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1962818583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 DORIS RD APT 223",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301106232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207R00000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.