LAURA J HANAHAN M.D.
NPI 1578566972
Radiology - Pediatric Radiology in Hudson, OH

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085P0229X and a focus in Pediatric Radiology.

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment

5655 HUDSON DR STE 210, HUDSON, OH 44236(330) 655-1869(330) 655-3828 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2024, Jul 27, 2023, Dec 7, 2022 and 2 more (5 updates tracked since 2016).

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About Laura J Hanahan M.d. NPPES

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

LAURA J HANAHAN M.D. (NPI 1578566972) is an individual pediatric radiology provider in Hudson, Ohio, licensed in California (G174927) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Stanford University School Of Medicine (1978).

NPPES Registry Identity

NPI1578566972

Entity TypeIndividualFemale

Primary Taxonomy2085P0229X

Provider Legal NameLAURA J HANAHANCredential: M.D.

Location Address5655 HUDSON DR STE 210Hudson, OH 44236-4455

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(330) 655-1869

Fax(330) 655-3828

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 1978

Enumeration DateMay 31, 2005

Last NPPES UpdateApril 24, 20245 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1578566972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

Licenses✔ Licensed in CA · G174927✔ Licensed in CO · DR.0052267

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 2010038689 (MO), G8606 (TX), G174927 (CA)

5655 HUDSON DR STE 210, Hudson, OH 44236

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Secondary Practice Location 1

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Laura J Hanahan M.d. 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 ID3375526791

PECOS Enrollment IDI20180523001034, I20200604000192, I20230110002553

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.