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DR. HISHAM HANAI M.D.
NPI 1801851332
Family Medicine in St Petersburg, FL

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
6350 CENTRAL AVE, ST PETERSBURG, FL 33707(727) 381-1144(727) 381-6901 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2025, Jul 1, 2019, Feb 20, 2019 (3 updates tracked since 2019).

About Dr. Hisham Hanai M.d. NPPES

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

DR. HISHAM HANAI M.D. (NPI 1801851332) is an individual family medicine provider in St Petersburg, Florida, licensed in Florida (ME74438) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1801851332
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HISHAM HANAICredential: M.D.
Location Address6350 CENTRAL AVESt Petersburg, FL 33707-1430
Mailing Address6350 Central AveSt Petersburg, FL 33707-1430 · (727) 381-1144 · Fax (727) 381-6901
Phone(727) 381-1144
Fax(727) 381-6901
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateApril 18, 2006
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1801851332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME74438
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6350 CENTRAL AVE, St Petersburg, FL 33707
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Other Identifiers 2

Other42446FL · Blue Cross Blue Shield Ho
Medicaid015566000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.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

Dr. Hisham Hanai 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 ID4981644648
PECOS Enrollment IDI20050513000117
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
206 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
196 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services37 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
50 services50 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
49 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Hca Florida Pasadena Hospital

Acute Care Hospitals · Saint Petersburg, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100126
Location1501 Pasadena Ave SSaint Petersburg, FL 33707 · Pinellas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33707 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$63.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

KEVIN B WITT M.D.
Family Medicine
6350 CENTRAL AVE
ST PETERSBURG, FL 33707
Pinellas County (727) 381-1144
PATIENT CONNECT HEALTHCARE CLINIC LLC
Clinic/Center
6350 CENTRAL AVE, SUITE A
ST PETERSBURG, FL 33707
Pinellas County (727) 490-6326
JENNIFER BEITELSHEES
Nurse Practitioner
6350 CENTRAL AVE
ST PETERSBURG, FL 33707
Pinellas County (773) 368-1780
JOSEPH P SPRINGLE M.D.
Family Medicine
6350 CENTRAL AVE
ST PETERSBURG, FL 33707
Pinellas County (727) 381-1144
RAFAL PIOTR KACZYNSKI MD
Family Medicine
6350 CENTRAL AVE
SAINT PETERSBURG, FL 33707
Pinellas County (727) 381-1144
ERICA LYNSEY LEPAK-LONG PA-C
Physician Assistant (Medical)
6350 CENTRAL AVE
ST PETERSBURG, FL 33707
Pinellas County (727) 381-1144
SHARI ROBERTS FNP
Nurse Practitioner (Family)
6350 CENTRAL AVE
ST PETERSBURG, FL 33707
Pinellas County (727) 381-1144
MARY ELLEN B ROGERS ARNP
Nurse Practitioner (Family)
6350 CENTRAL AVE
ST PETERSBURG, FL 33707
Pinellas County (813) 977-0733

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 Hisham Hanai's NPI number?

The NPI number for Hisham Hanai is 1801851332. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Hisham Hanai located?

Hisham Hanai practices at 6350 Central Ave, St Petersburg, FL 33707. The listed phone number is (727) 381-1144.

What is Hisham Hanai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hisham Hanai enrolled in Medicare?

Yes. Hisham Hanai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hisham Hanai accept?

Health plans from AvMed and Molina Healthcare list Hisham Hanai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hisham Hanai affiliated with any hospitals?

According to CMS data, Hisham Hanai is affiliated with St Josephs Hospital and Hca Florida Pasadena Hospital.

When was this NPI record last updated?

The NPPES record for Hisham Hanai was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.