NICOLA HANANIA MD
NPI 1851471114
Internal Medicine - Pulmonary Disease in Houston, TX

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
6620 MAIN ST, HOUSTON, TX 77030(713) 798-2500(713) 798-2505 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicola Hanania Md NPPES

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

NICOLA HANANIA MD (NPI 1851471114) is an individual pulmonary disease provider in Houston, Texas, licensed in Texas (J7982) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1851471114
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameNICOLA HANANIACredential: MD
Location Address6620 MAIN STHouston, TX 77030-2348
Mailing Address6620 Main StHouston, TX 77030-2348 · (713) 798-2500 · Fax (713) 798-2505
Fax(713) 798-2505
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 17, 2006
Last NPPES UpdateFebruary 2, 2011
✔ NPI 1851471114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · J7982
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
6620 MAIN ST, Houston, TX 77030

Other Identifiers 6

Medicare UPING04602
Medicare PINTXB115951TX
Medicaid129185803TX
Medicare PIN290014790TX
Medicare PIN80X705TX
Medicare PIN81J383TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicola Hanania 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 ID42409567
PECOS Enrollment IDI20110113000692
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 Reassignments

2

Medicare enrollment records show Nicola Hanania reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
6620 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 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.

Areas of Expertise CMS Part B claims 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services11 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.
20 services13 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.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
6620 MAIN ST
HOUSTON, TX 77030
Orthopaedic Surgery
6620 MAIN ST, SUITE 1325
HOUSTON, TX 77030
Urology
6620 MAIN ST, SUITE 1325, MS BCM380
HOUSTON, TX 77030
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6620 MAIN ST, SUITE 1450
HOUSTON, TX 77030
Transplant Surgery
6620 MAIN ST, SUITE 1450
HOUSTON, TX 77030
Surgery (Surgical Critical Care)
6620 MAIN ST, SUITE 1350
HOUSTON, TX 77030
Internal Medicine (Gastroenterology)
6620 MAIN ST
HOUSTON, TX 77030
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6620 MAIN ST, BAYLOR CLINIC 1325
HOUSTON, TX 77030

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 Nicola Hanania's NPI number?

The NPI number for Nicola Hanania is 1851471114. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Nicola Hanania located?

Nicola Hanania practices at 6620 Main St, Houston, TX 77030. The listed phone number is (713) 798-2500.

What is Nicola Hanania's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nicola Hanania enrolled in Medicare?

Yes. Nicola Hanania 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.

Which organizations bill Medicare for Nicola Hanania's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicola Hanania reassigns Medicare benefits to 2 organizations: Baylor College Of Medicine (Houston, TX) and Baylor College Of Medicine (Houston, TX). Each 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 Nicola Hanania's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicola Hanania accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Nicola Hanania 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 Nicola Hanania affiliated with any hospitals?

According to CMS data, Nicola Hanania is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Nicola Hanania was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.