MARK HANNIS MD
NPI 1336119106
Internal Medicine - Geriatric Medicine in Dearborn, MI

Q: What is Mark Hannis's NPI number?

The NPI number for Mark Hannis is 1336119106. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Q: What is Mark Hannis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Mark Hannis was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 25, 2006

15101 FORD RD, DEARBORN, MI 48126(313) 582-2769(313) 846-7708 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark Hannis Md NPPES

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

MARK HANNIS MD (NPI 1336119106) is an individual geriatric medicine provider in Dearborn, Michigan, licensed in Michigan (4301071197) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1336119106

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameMARK HANNISCredential: MD

Location Address15101 FORD RDDearborn, MI 48126-4611

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1863 · Fax (947) 522-0307

Phone(313) 582-2769

Fax(313) 846-7708

Sole ProprietorNo

Enumeration DateJanuary 25, 2006

Last NPPES UpdateOctober 22, 2020

NPPES CertifiedOctober 22, 2020

✔ NPI 1336119106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in MI · 4301071197

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

15101 FORD RD, Dearborn, MI 48126

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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

79%24 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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

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