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DR. MARK HANNA MD
NPI 1376905588
Emergency Medicine - Pediatric Emergency Medicine in New York, NY

Active since March 26, 2016PECOS Enrolled
622 W 168TH ST # VC-260, NEW YORK, NY 10032(212) 305-8720 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2023, Mar 26, 2016 (2 updates tracked since 2016).

About Dr. Mark Hanna Md NPPES

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

DR. MARK HANNA MD (NPI 1376905588) is an individual pediatric emergency medicine provider in New York, New York, licensed in New York (312603) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376905588
Entity TypeIndividualMale
Primary Taxonomy207PP0204X
Provider Legal NameDR. MARK HANNACredential: MD
Location Address622 W 168TH ST # VC-260New York, NY 10032-3720
Mailing Address4802 10th AveBrooklyn, NY 11219-2916 · (908) 628-5233
Phone(212) 305-8720
Sole ProprietorYes
Enumeration DateMarch 26, 2016
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1376905588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in NY · 312603
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
622 W 168TH ST # VC-260, New York, NY 10032
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1450 Clarkson Ave # 59Brooklyn, NY 11203-2012 · Phone (718) 210-7800
Location 24802 10th AveBrooklyn, NY 11219-2916 · Phone (718) 283-6295

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Hanna Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mark Hanna reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trustees Of Columbia University In The City Of New York
Same address
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1477068971 (212) 305-9876
Brookdale Hospital Medical Center
13 mi
General Acute Care Hospital
1 BROOKDALE PLZ STE 666
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1720028772 (718) 240-8352
Coney Island Medical Practice Plan, P.C.
18 mi
General Practice
2601 OCEAN PKWY
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
NPI 1386951762 (718) 616-5354

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

ROBERT COLIN CARTER MD
Pediatrics
622 W 168TH ST # VC-260
NEW YORK, NY 10032
New York County (212) 305-6628
DR. WENDY WENQIAN SUN MD
Emergency Medicine
622 W 168TH ST # VC-260
NEW YORK, NY 10032
New York County (212) 305-8720
MS. MUNAZA BATOOL RIZVI M.D.
Pediatrics (Pediatric Emergency Medicine)
622 W 168TH ST # VC-260
NEW YORK, NY 10032
New York County (212) 305-6228
SHARIF MATTHEW OMAR PA-C
Physician Assistant
622 W 168TH ST # VC-260
NEW YORK, NY 10032
New York County (212) 304-6172
TYLER PHU HIEN NGHIEM DO
Emergency Medicine
622 W 168TH ST # VC-260
NEW YORK, NY 10032
New York County (212) 305-0659
MR. KEVIN A LANE SR. PA-C
Physician Assistant
622 W 168TH ST # VC-260
NEW YORK, NY 10032
New York County (212) 305-6059

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 Mark Hanna's NPI number?

The NPI number for Mark Hanna is 1376905588. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Where is Mark Hanna located?

Mark Hanna practices at 622 W 168th St # Vc-260, New York, NY 10032. The listed phone number is (212) 305-8720.

What is Mark Hanna's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Mark Hanna enrolled in Medicare?

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

Which organizations bill Medicare for Mark Hanna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Hanna reassigns Medicare benefits to 3 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Brookdale Hospital Medical Center (Brooklyn, NY) and Coney Island Medical Practice Plan, P.C. (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Hanna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Hanna was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.