Individual provider Active NPI

Milad Helmy Hanna, M.D.

  • Family Medicine Physician
  • Shipshewana, IN
National Provider Identifier
1982674347
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01073600A Issued in IN
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1982674347MedicaidMI

Other names 1

  • Dr. Milad Helmy Hanna Attiatalla Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140331002018 IN Practitioner - Emergency Medicine 5698723229 Reassigns benefits to 1 organization

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
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

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 100Reported as group
Quality
74.88
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01073600AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Family Medicine CurrentSince Oct 10, 2019 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.