MARIAM WASSEF HANNA – Diagnostic Radiology Physician, NPI 1013228246

MARIAM WASSEF HANNA is a healthcare provider. based in Lakeland, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. ME125175 (FL). The NPI Number for MARIAM WASSEF HANNA is 1013228246

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MARIAM WASSEF HANNA
NPI
1013228246
Phone
(863) 680-7000
Address
1600 LAKELAND HILLS BLVD
Enumeration Date
22 June 2010
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043995550
Graduation Year
2010 (16 years ago)
PAC ID
4789822545
Group Practice PAC ID
8820077878
Professional Enrollment ID
I20160622002426
Address ID
FL320735148OR2001XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for MARIAM WASSEF HANNA

  • 1600 LAKELAND HILLS BLVD

    LAKELAND, FL 338053065

    Phone: (863) 680-7000

    Fax: (866) 264-8519

    Type: Mailing

  • 1600 SW Archer Rd

    Gainesville, FL 326100374

    Phone: (352) 265-0291

    Fax: (352) 265-0279

    Type: Location

  • 2330 UTAH AVE STE 200

    EL SEGUNDO, CA 902454817

    Phone: (281) 766-0959

    Type: Location

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326100374

    Phone: (352) 265-0291

    Fax: (352) 265-0279

    Type: Location

  • PO BOX 100374

    GAINESVILLE, FL 326100374

    Phone: (352) 265-0291

    Fax: (352) 265-0279

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160622002426IDiagnostic RadiologyFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography582582$0
77063Screening 3d breast mammography580580$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)182179$0
76642Limited ultrasound scan of 1 breast118112$0
77066Diagnostic mammography of both breasts117117$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

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Provider's Procedures

MARIAM WASSEF HANNA performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL74177CT scan of abdomen and pelvis with contrast2121
DIAGNOSTIC RADIOLOGYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4543

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820077878View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
Interventional RadiologyFL
Diagnostic Radiology, Interventional RadiologyOH
Diagnostic RadiologyFL
Diagnostic RadiologyWI
-FL
Neurology, Nuclear Medicine, Diagnostic RadiologyFL
Diagnostic RadiologyKY
-FL
Diagnostic RadiologyTN

Reviews

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Frequently asked questions

What unique ID ties claims to MARIAM WASSEF HANNA?
NPI 1013228246 is assigned to MARIAM WASSEF HANNA under the national enumeration system.
Is MARIAM WASSEF HANNA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MARIAM WASSEF HANNA?
The page reflects Diagnostic Radiology Physician for MARIAM WASSEF HANNA. Clinical services aligned with this taxonomy classification.
What location shows for MARIAM WASSEF HANNA?
We surface Lakeland, Florida for MARIAM WASSEF HANNA based on available NPPES addresses.
Is MARIAM WASSEF HANNA a real provider?
This page reflects official NPPES data for NPI 1013228246. Always confirm identity and privileges with the practice and licensing boards.

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