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DR. HANNA K. FANOUS MD
NPI 1922629856
Internal Medicine - Cardiovascular Disease in Salt Lake City, UT

Active since May 01, 2020PECOS Enrolled
30 N 1900 E RM 4A100, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hanna K. Fanous Md NPPES

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

DR. HANNA K. FANOUS MD (NPI 1922629856) is an individual cardiovascular disease provider in Salt Lake City, Utah, licensed in Utah (13296086-1205) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922629856
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. HANNA K. FANOUSCredential: MD
Location Address30 N 1900 E RM 4A100Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 4a100Salt Lake City, UT 84132-0002 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorNo
Enumeration DateMay 1, 2020
Last NPPES UpdateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
✔ NPI 1922629856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in UT · 13296086-1205
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License BP10070653 (TX)
30 N 1900 E RM 4A100, Salt Lake City, UT 84132
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hanna K. Fanous 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 84132 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 20

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

TAYLOR B. DESMARAIS MD, MS
Internal Medicine (Interventional Cardiology)
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
DR. ANDREW C. GAGEL MD
Internal Medicine (Cardiovascular Disease)
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-2451
MR. JACOB C FETZER PA-C
Physician Assistant
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-7676
ALEKSANDRA A. ABRAHAMOWICZ MD
Internal Medicine (Cardiovascular Disease)
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
CARLOS E. RODRIGUEZ CORREA MD
Internal Medicine (Cardiovascular Disease)
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-7676
DIANA P. MELO M.D
Internal Medicine (Interventional Cardiology)
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
DR. NAGESHWARA R. GULLAPALLI MBBS, MPH, MBA
Internal Medicine (Cardiovascular Disease)
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-2451
KEVIN FELPEL DO
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-7676

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 Hanna Fanous's NPI number?

The NPI number for Hanna Fanous is 1922629856. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Hanna Fanous located?

Hanna Fanous practices at 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.

What is Hanna Fanous's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Hanna Fanous enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Hanna Fanous was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.