Active NPI
Milad Helmy Hanna, M.D.
- Family Medicine Physician
- Shipshewana, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01073600A
- Practice address
- 8175 W US Highway 20
Shipshewana, IN 46565 - Phone
- (260) 768-7432
- Fax
- (260) 768-7482
- NPI assigned
- Jan 26, 2006
- Last updated
- Oct 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301105158 | MI | |
| Family Medicine Physician | 207Q00000X | 01073600A | IN | Primary |
Addresses
Primary practice location
8175 W US Highway 20
Shipshewana, IN 46565
Mailing address
3702 New Vision Dr BLDG B
Fort Wayne, IN 46845-1703
Other practice location 1
5515 Cleveland Ave
Suite 5
Stevensville, MI 49127-9670
Phone (269) 429-9644
Other practice location 2
5515 Cleveland Ave
Suite 5
Stevensville, MI 49127-9670
Phone (269) 429-9644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982674347 | Medicaid | MI |
Other names 1
- Dr. Milad Helmy Hanna Attiatalla
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mhanna220005@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Emergency Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 N Townline Rd
Lagrange, IN 46761-1325
2600 N Detroit St
PPG Family Medicine
Lagrange, IN 46761-1154
Phone (260) 463-4896
817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.02 of 100
- Quality
- 74.88
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01073600A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Family Medicine | Current | Accepting new patients |
| Hughes Emergency Physicians | Past | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
Interoperability endpoints
- mhanna220005@direct.parkviewexchange.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Emergency Medicine Physician
- Holdenville, OK
- NPI 1578513495
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview LaGrange Hospital
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
dba Parkview Noble Hospital
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1982674347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 NEW VISION DR BLDG B",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8175 W US HIGHWAY 20",
"city": "SHIPSHEWANA",
"state": "IN",
"postal_code": "46565",
"telephone_number": "260-768-7432",
"fax_number": "260-768-7482"
}
],
"practiceLocations": [
{
"address_1": "5515 Cleveland Ave",
"address_2": "Suite 5",
"address_purpose": "LOCATION",
"city": "Stevensville",
"state": "MI",
"postal_code": "491279670",
"country_code": "US",
"telephone_number": "269-429-9644",
"fax_number": "269-429-4002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5515 Cleveland Ave",
"address_2": "Suite 5",
"address_purpose": "LOCATION",
"city": "Stevensville",
"state": "MI",
"postal_code": "491279670",
"country_code": "US",
"telephone_number": "269-429-9644",
"fax_number": "269-429-4002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "MILAD",
"middle_name": "HELMY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301105158",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01073600A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982674347",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mhanna220005@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "8175 W US Highway 20",
"city": "Shipshewana",
"state": "IN",
"country_code": "US",
"postal_code": "46565",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "8175 W US Highway 20",
"city": "Shipshewana",
"state": "IN",
"country_code": "US",
"postal_code": "46565",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "8175 W US Highway 20",
"city": "Shipshewana",
"state": "IN",
"country_code": "US",
"postal_code": "46565",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MILAD",
"last_name": "ATTIATALLA",
"middle_name": "HELMY HANNA",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shipshewana, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.