ISSA HANNA MD
NPI 1578067955
Pediatrics in Jacksonville, FL

Q: What is Issa Hanna's NPI number?

The NPI number for Issa Hanna is 1578067955. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Q: What is Issa Hanna's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Issa Hanna was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 21, 2018PECOS EnrolledAccepts Medicare Assignment

841 PRUDENTIAL DR STE 1130, JACKSONVILLE, FL 32207(904) 633-4199(904) 633-4188 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Oct 20, 2019, Mar 21, 2018 (3 updates tracked since 2018).

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About Issa Hanna Md NPPES

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

ISSA HANNA MD (NPI 1578067955) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME149451) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1578067955

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameISSA HANNACredential: MD

Location Address841 PRUDENTIAL DR STE 1130Jacksonville, FL 32207-8331

Mailing Address11469 John Dory WayJacksonville, FL 32223-7373 · (904) 704-9192

Phone(904) 633-4199

Fax(904) 633-4188

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 21, 2018

Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration

NPPES CertifiedNovember 13, 2023

✔ NPI 1578067955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in FL · ME149451✔ Licensed in FL · TRN26245

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

841 PRUDENTIAL DR STE 1130, Jacksonville, FL 32207

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Secondary Practice Locations 2

Location 1655 W 8th StJacksonville, FL 32209-6511 · Phone (904) 633-4199

Location 211469 John Dory WayJacksonville, FL 32223-7373 · Phone (904) 704-9192

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

Issa Hanna Md 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 ID5092163600

PECOS Enrollment IDI20231120003516

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 14

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

YEKATERINA JONES D.O.

Pediatrics