Andrew J Hanly, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME70688 Issued in FL

Practice address

16250 NW 59TH Ave
Suite 201
Miami Lakes, FL 33014-7542

Phone

(305) 825-4422

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Pathology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark and Kambour MD PAGroup PAC ID 0840258646, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Mark and Kambour MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami Lakes, FL
  • NPI 1760456172
  Medicare reassignment Care Compare group NPD
• Global Pathology Laboratory Services Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami Lakes, FL
  • NPI 1134190564
  NPD (past) Authorized official
• Bernhardt Laboratories Inc

  • Clinical Medical Laboratory
  • Jacksonville, FL
  • NPI 1417960626
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1992776314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 NW 59TH AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147542",
            "telephone_number": "305-825-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NW 59TH AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147542",
            "telephone_number": "305-825-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLY",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME70688",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME70688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030682700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Ines Halberstein, MASTER IN SCIENCE
• Jessica Hale, PT, DPT, ATC
• Hallandale Rehabilitation Inc
• Keyonna Hamon
• Hands of Life Inc
• Happy Kids Ppec Foundation
• Yudith Hare
• Harmony Behavior Services LLC
• Harmony Home Care Solutions LLC
• Harmony Life Homecare, Inc

• Anatomic Pathology & Clinical Pathology Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.

Verify at the official NPI Registry.