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ERIK N HANSEN MD
NPI 1952458838
Surgery - Pediatric Surgery in Phoenix, AZ

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0016(602) 933-4318 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2024, Aug 15, 2023, Dec 27, 2021 and 1 more (4 updates tracked since 2021).

About Erik N Hansen Md NPPES

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

ERIK N HANSEN MD (NPI 1952458838) is an individual pediatric surgery provider in Phoenix, Arizona, licensed in Arizona (69504) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2021).

NPPES Registry Identity

NPI1952458838
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameERIK N HANSENCredential: MD
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124 · Fax (214) 443-7309
Phone(602) 933-0016
Fax(602) 933-4318
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2021
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJune 11, 20244 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1952458838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in AZ · 69504
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1919 E THOMAS RD, Phoenix, AZ 85016
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.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

Erik N Hansen 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 ID1456483387
PECOS Enrollment IDI20230616003376
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

4

Medicare enrollment records show Erik Hansen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoenix Children's Hospital
Same address
Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 clinicians in this Medicare group
NPI 1922112044 (602) 933-1000
District Medical Group, Inc
1.7 mi
Surgery
2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1174856280 (602) 344-1095
University Of Texas Southwestern Medical Center At Dallas
345 mi
Internal Medicine
1625 MEDICAL CENTER DR
El Paso, TX 79902
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1235384199 (214) 645-0624
Texas Scottish Rite Hospital For Crippled Children
883 mi
Pediatric Orthopaedic Surgery
2222 WELBORN ST
Dallas, TX 75219
  • Reassigned Medicare billing, Texas enrollment
  • 179 clinicians in this Medicare group
NPI 1598188948 (214) 559-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

DR. TIMUR RAGHIB M.D.
Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0777
MRS. MARIA T ESCOBAR CSP, RD
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (480) 440-2787
DR. AHMAR HUSAIN MD
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
MRS. SOLEE R COWLEY LCSW
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0414
MR. SEAN PATRICK BRADY DO
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
PRIYA PRASHER M.D.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900
DR. AMIT RAJARAM D.O.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0198
LAURA GARDNER HAMANT
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1000

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 Erik Hansen's NPI number?

The NPI number for Erik Hansen is 1952458838. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Erik Hansen located?

Erik Hansen practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0016.

What is Erik Hansen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Erik Hansen enrolled in Medicare?

Yes. Erik Hansen 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 Erik Hansen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Hansen reassigns Medicare benefits to 4 organizations: Phoenix Children's Hospital (Phoenix, AZ), District Medical Group, Inc (Phoenix, AZ), University Of Texas Southwestern Medical Center At Dallas (El Paso, TX) and Texas Scottish Rite Hospital For Crippled Children (Dallas, 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 Erik Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erik Hansen accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. list Erik Hansen 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.

When was this NPI record last updated?

The NPPES record for Erik Hansen was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.