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MARIO WALID HANNA
NPI 1366236028
Student in an Organized Health Care Education/Training Program in Southfield, MI

Active since April 08, 2025PECOS Enrolled
22250 PROVIDENCE DR. 3PMB SUITE #301, SOUTHFIELD, MI 48075(248) 849-3281(248) 849-5449 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mario Walid Hanna NPPES

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

MARIO WALID HANNA (NPI 1366236028) is an individual student in an organized health care education/training program in Southfield, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366236028
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARIO WALID HANNA
Location Address22250 PROVIDENCE DR. 3PMB SUITE #301Southfield, MI 48075-4818
Mailing Address22250 Providence Dr. 3pmb Suite #301Southfield, MI 48075-4818 · (248) 849-3281 · Fax (248) 849-5449
Phone(248) 849-3281
Fax(248) 849-5449
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1366236028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario Walid Hanna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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

RAHUL DESHMUKH DO
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR. 3PMB SUITE #301
SOUTHFIELD, MI 48075
Oakland County (248) 849-3281
FADI SAMER MOUSA AYOUB M.D.
Internal Medicine
22250 PROVIDENCE DR. 3PMB SUITE #301, 22250 PROVIDENCE DR. 3PMB SUITE #301
SOUTHFIELD, MI 48075
Oakland County (248) 849-3281
DR. CAMERON AARON PERES MD
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR. 3PMB SUITE #301
SOUTHFIELD, MI 48075
Oakland County (248) 849-3281

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 Mario Hanna's NPI number?

The NPI number for Mario Hanna is 1366236028. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Mario Hanna located?

Mario Hanna practices at 22250 Providence Dr. 3pmb Suite #301, Southfield, MI 48075. The listed phone number is (248) 849-3281.

What is Mario Hanna's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mario Hanna enrolled in Medicare?

Yes. Mario Hanna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario Hanna was last updated on April 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.