Active NPI
Hoda E. Hannallah, M.D.
- Psychiatry Physician
- Apache Junction, AZ
National Provider Identifier
1982634697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25477
- Practice address
- 625 N Plaza Dr
Apache Junction, AZ 85120-5501 - Phone
- (480) 983-0065
- Fax
- (480) 288-5339
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25477 | AZ | Primary |
Addresses
Primary practice location
625 N Plaza Dr
Apache Junction, AZ 85120-5501
Mailing address
PO Box 3160
Apache Junction, AZ 85117-4115
Phone (480) 983-0065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 513847 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25477 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Horizon Health and Wellness, Inc. | Psychiatry | Past | Accepting new patients |
| Horizon Health and Wellness, Inc. | Past | Accepting new patients | |
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients |
Interoperability endpoints
- hoda.hannallah.p1@direct.lifewell.nextgenshare.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Oracle, AZ
- NPI 1710366737
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1982634697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3160",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851174115",
"telephone_number": "480-983-0065",
"fax_number": "480-288-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N PLAZA DR",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851205501",
"telephone_number": "480-983-0065",
"fax_number": "480-288-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNALLAH",
"first_name": "HODA",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "25477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "513847",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.