KENNY E. HANNA JR. MD
NPI 1629283510
Surgery - Surgery of the Hand in Glendale, CA

Active since May 14, 2007PECOS Enrolled
319 S BRAND BLVD, GLENDALE, CA 91204(818) 240-0006(818) 240-0038 Get Directions Write a Review

NPPES record last updated: March 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2019, Aug 16, 2018, Aug 30, 2017 and 2 more (5 updates tracked since 2016).

About Kenny E. Hanna Jr. Md NPPES

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

KENNY E. HANNA JR. MD (NPI 1629283510) is an individual surgery of the hand provider in Glendale, California, licensed in California (C15029) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1629283510
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameKENNY E. HANNA JR.Credential: MD
Location Address319 S BRAND BLVDGlendale, CA 91204-1701
Mailing Address8545 W Warm Springs Rd Ste A4-343Las Vegas, NV 89113-3676 · Fax (702) 933-8671
Fax(818) 240-0038
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateMarch 23, 20195 updates tracked since enumeration
NPI 1629283510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
Licenses Licensed in CA · C15029 Licensed in NV · 14660
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
319 S BRAND BLVD, Glendale, CA 91204

Secondary Practice Location 1

Location 17140 Smoke Ranch Rd Ste 150Las Vegas, NV 89128-3157 · Phone (702) 320-8111 · Fax (702) 320-8112

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenny E. Hanna Jr. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91204 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 5

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

General Practice
319 S BRAND BLVD
GLENDALE, CA 91204
Exclusive Provider Organization
319 S BRAND BLVD
GLENDALE, CA 91204
Chiropractor (Occupational Health)
319 S BRAND BLVD
GLENDALE, CA 91204
Podiatrist (Primary Podiatric Medicine)
319 S BRAND BLVD
GLENDALE, CA 91204
Clinic/Center (Adolescent and Children Mental Health)
319 S BRAND BLVD
GLENDALE, CA 91204

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 Kenny Hanna's NPI number?

The NPI number for Kenny Hanna is 1629283510. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Kenny Hanna located?

Kenny Hanna practices at 319 S Brand Blvd, Glendale, CA 91204. The listed phone number is (818) 240-0006.

What is Kenny Hanna's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Kenny Hanna enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenny Hanna was last updated on March 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.