JOE M HANNAH M.D.
NPI 1417059536
Pediatrics in Indianapolis, IN

Active since September 01, 2006PECOS Enrolled
4115 OFFICE PLAZA BLVD, INDIANAPOLIS, IN 46254(317) 297-3507(317) 290-2557 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Joe M Hannah M.d. NPPES

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

JOE M HANNAH M.D. (NPI 1417059536) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (01025363A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417059536
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOE M HANNAHCredential: M.D.
Location Address4115 OFFICE PLAZA BLVDIndianapolis, IN 46254-2408
Mailing Address4115 Office Plaza BlvdIndianapolis, IN 46254-2408 · (317) 297-3507 · Fax (317) 290-2557
Fax(317) 290-2557
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1417059536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01025363A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4115 OFFICE PLAZA BLVD, Indianapolis, IN 46254

Other Identifiers 1

Other000000083794IN · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joe M Hannah M.d. 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 Reassignment

Medicare enrollment records show Joe Hannah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietitian, Registered
1800 N CAPITOL AVE, B445
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group

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 46254 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

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

Pediatrics
4115 OFFICE PLAZA BLVD
INDIANAPOLIS, IN 46254
Pediatrics
4115 OFFICE PLAZA BLVD
INDIANAPOLIS, IN 46254

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 Joe Hannah's NPI number?

The NPI number for Joe Hannah is 1417059536. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Joe Hannah located?

Joe Hannah practices at 4115 Office Plaza Blvd, Indianapolis, IN 46254. The listed phone number is (317) 297-3507.

What is Joe Hannah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Joe Hannah enrolled in Medicare?

Yes. Joe Hannah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joe Hannah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joe Hannah reassigns Medicare benefits to Indiana University Health Care Associates, Inc. (Indianapolis, IN). The 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 Joe Hannah'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 Joe Hannah was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.