Active NPI
Melanie Hanna-Johnson, MD MHSA
- Internal Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301406391
- Practice address
- 26400 W 12 Mile Rd Ste 145
Southfield, MI 48034-1700 - Phone
- (248) 359-8034
- Fax
- (248) 359-8660
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301406391 | MI | Primary |
Addresses
Primary practice location
26400 W 12 Mile Rd Ste 145
Southfield, MI 48034-1700
Mailing address
400 Mack Ave
Detroit, MI 48201-2136
Other practice location 1
400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 448-9650
Other practice location 2
4201 Saint Antoine St Ste 6A&6B
Detroit, MI 48201-2153
Phone (313) 745-4627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26400 W 12 Mile Rd
Suite 111
Southfield, MI 48034-1771
Phone (248) 357-4151
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| University Physician Group | Past | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
4201 Saint Antoine St
#6A
Detroit, MI 48201
Phone (313) 745-4627
50 E Canfield St
Detroit, MI 48201
Phone (313) 577-9704
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
4201 Saint Antoine St
Ste 6A
Detroit, MI 48201
Phone (313) 745-4230
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
4201 Saint Antoine St
Ste 6A6B
Detroit, MI 48201
Phone 3137454627 ext. 235
4160 John R St
Ste 804
Detroit, MI 48201
Phone (313) 833-1271
4201 Saint Antoine St
#5A
Detroit, MI 48201
26400 W 12 Mile Rd
Ste 111
Southfield, MI 48034
Phone (248) 357-4151
26400 W 12 Mile Rd
Ste 145
Southfield, MI 48034
Phone (248) 359-8034
26400 W 12 Mile Rd
Ste 110
Southfield, MI 48034
Phone (248) 355-3875
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- melanie.hanna-johnson.1@19711.direct.athenahealth.com
- mhanna-j@direct.dmc.org
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.
-
dba Wayne State University Physician Group
- Social Worker
- Livonia, MI
- NPI 1154360402
-
dba Wayne State University Physician Group
- Counselor
- Detroit, MI
- NPI 1447465661
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1972543437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26400 W 12 MILE RD STE 145",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341700",
"telephone_number": "248-359-8034",
"fax_number": "248-359-8660"
}
],
"practiceLocations": [
{
"address_1": "400 Mack Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012136",
"country_code": "US",
"telephone_number": "313-448-9650",
"fax_number": "313-448-9979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4201 Saint Antoine St Ste 6A&6B",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012153",
"country_code": "US",
"telephone_number": "313-745-4627",
"fax_number": "313-966-7305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA-JOHNSON",
"first_name": "MELANIE",
"credential": "MD MHSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301406391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.