MARIAM G HANNA MD
NPI 1952714222
Obstetrics & Gynecology in Kenosha, WI

Active since June 04, 2014PECOS EnrolledAccepts Medicare Assignment
10400 75TH ST, KENOSHA, WI 53142(262) 948-5600 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 7, 2024, Dec 1, 2021, Aug 22, 2019 and 1 more (4 updates tracked since 2019).

About Mariam G Hanna Md NPPES

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

MARIAM G HANNA MD (NPI 1952714222) is an individual obstetrics & gynecology provider in Kenosha, Wisconsin, licensed in Wisconsin (70788) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2014).

NPPES Registry Identity

NPI1952714222
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARIAM G HANNACredential: MD
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing Address10400 75th StKenosha, WI 53142-7884 · (262) 948-5600
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2014
Enumeration DateJune 4, 2014
Last NPPES UpdateMay 7, 20244 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1952714222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 70788
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10400 75TH ST, Kenosha, WI 53142

Other Identifiers 1

Medicaid100087680WI

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

Mariam G Hanna 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 ID9638411341
PECOS Enrollment IDI20240905001919
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 Reassignment

Medicare enrollment records show Mariam Hanna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142

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 Mariam Hanna's NPI number?

The NPI number for Mariam Hanna is 1952714222. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Mariam Hanna located?

Mariam Hanna practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-5600.

What is Mariam Hanna's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mariam Hanna enrolled in Medicare?

Yes. Mariam Hanna 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 organization bills Medicare for Mariam Hanna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Hanna reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The 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 Mariam Hanna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariam Hanna was last updated on May 7, 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.