KENNY E. JR. HANNA (MD) – Surgery of the Hand (Surgery) Physician, NPI 1629283510

KENNY E. JR. HANNA (MD) is a healthcare provider. based in Glendale, California. specializing in Surgery of the Hand (Surgery) Physician. They hold the professional credentials MD. They hold a License No. 14660 (NV). The NPI Number for KENNY E. JR. HANNA (MD) is 1629283510

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
KENNY E. JR. HANNA (MD)
NPI
1629283510
Phone
(818) 240-0006
Address
319 S BRAND BLVD
Enumeration Date
14 May 2007
Last Update Date
23 March 2019

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
7315182490
Professional Enrollment ID
I20181206003543
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for KENNY E. JR. HANNA (MD)

  • 319, South Brand Boulevard, Glendale, Los Angeles County, California, 91204, United States

    GLENDALE, CA 912041701

    Phone: (818) 240-0006

    Fax: (818) 240-0038

    Type: Location

  • 8545 W WARM SPRINGS RD STE A4-343

    LAS VEGAS, NV 891133676

    Phone:

    Fax: (702) 933-8671

    Type: Mailing

  • 7140 Smoke Ranch Rd Ste 150

    Las Vegas, NV 891283157

    Phone: (702) 320-8111

    Fax: (702) 320-8112

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $442.

Total Amount is formed as General ($442) + Research ($0) + Ownership ($0) = $442.

Last reported payment date: 2023-08-18 • Largest payer in this snapshot: Stryker Corporation ($169).

Total Amount

$442

General + Research + Ownership

Payments

5

Total payment records

General Amount

$442

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-18

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-06

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130320000161IHand SurgeryNVTBD
I20181206003543IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91204)

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Provider's Procedures

KENNY E. JR. HANNA (MD) performs procedures in Surgery of the Hand (Surgery) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HAND SURGERYNV73110X-ray of wrist, minimum of 3 views7351
HAND SURGERYNV73140X-ray of fingers, minimum of 2 views1816

Reviews

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Frequently asked questions

Can I use this page to confirm KENNY E. JR. HANNA (MD)'s NPI?
Yes. KENNY E. JR. HANNA (MD) is listed with NPI 1629283510 in the public NPI dataset.
Does CMS list KENNY E. JR. HANNA (MD) as active?
Yes — KENNY E. JR. HANNA (MD) is active in the NPI listing used on this page.
What taxonomy line describes KENNY E. JR. HANNA (MD)?
For research purposes, treat KENNY E. JR. HANNA (MD) as Surgery of the Hand (Surgery) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KENNY E. JR. HANNA (MD)?
KENNY E. JR. HANNA (MD)'s geographic hint is Glendale, California in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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