MR. PETER SAMIR HANNA PA-C
NPI 1003362351
Physician Assistant - Medical in Waterbury, CT

Active since August 28, 2016PECOS EnrolledAccepts Medicare Assignment
64 ROBBINS ST, WATERBURY, CT 06708(704) 340-5079 Get Directions Write a Review

NPPES record last updated: July 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2018, Mar 29, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Mr. Peter Samir Hanna Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER SAMIR HANNA PA-C (NPI 1003362351) is an individual medical provider in Waterbury, Connecticut, licensed in Connecticut (3800) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003362351
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. PETER SAMIR HANNACredential: PA-C
Location Address64 ROBBINS STWaterbury, CT 06708
Mailing Address14 4th St Apt ADanbury, CT 06810-5733 · (704) 340-5079
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 28, 2016
Last NPPES UpdateJuly 8, 20185 updates tracked since enumeration
NPI 1003362351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 3800
Also ListedEmergency MedicineTaxonomy 207P00000X · License 3800 (CT)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1990 (WV)
64 ROBBINS ST, Waterbury, CT 06708

Other Names 1

Former Name (1)Mr. Boutros S Badawi Pa-c

Secondary Practice Locations 4

Location 13200 MacCorkle Ave SE LbbyCharleston, WV 25304-1294 · Phone (304) 388-4172
Location 2300 Seaside AveMilford, CT 06460-4603 · Phone (203) 876-4000
Location 31 Hospital DrMassena, NY 13662-1056 · Phone (315) 764-1711
Location 460 Old New Milford RdBrookfield, CT 06804-2430 · Phone (203) 775-6205 · Fax (203) 775-2373

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Peter Samir Hanna Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719267434
PECOS Enrollment IDI20170323000539
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
64 ROBBINS ST
WATERBURY, CT 06708
Student in an Organized Health Care Education/Training Program
64 ROBBINS ST
WATERBURY, CT 06708
Counselor (Professional)
64 ROBBINS ST, CRISIS CENTER
WATERBURY, CT 06708
Student in an Organized Health Care Education/Training Program
64 ROBBINS ST
WATERBURY, CT 06708
Physician Assistant
64 ROBBINS ST
WATERBURY, CT 06708
Anesthesiology
64 ROBBINS ST
WATERBURY, CT 06708
Psychiatry & Neurology (Psychiatry)
64 ROBBINS ST
WATERBURY, CT 06708
Pharmacist
64 ROBBINS ST
WATERBURY, CT 06708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Hanna's NPI number?

The NPI number for Peter Hanna is 1003362351. It was assigned to this individual provider in the NPPES registry on August 28, 2016. The provider is also known as Mr. Boutros S Badawi Pa-C.

Where is Peter Hanna located?

Peter Hanna practices at 64 Robbins St, Waterbury, CT 06708. The listed phone number is (704) 340-5079.

What is Peter Hanna's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Peter Hanna enrolled in Medicare?

Yes. Peter Hanna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Peter Hanna was last updated on July 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.