MARIAM WASSEF HANNA – Diagnostic Radiology Physician, NPI 1013228246
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160622002426 | I | Diagnostic Radiology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 582 | 582 | $0 |
| 77063 | Screening 3d breast mammography | 580 | 580 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 182 | 179 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 118 | 112 | $0 |
| 77066 | Diagnostic mammography of both breasts | 117 | 117 | $0 |
Insurance plans in this area (ZIP 33805)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Interventional Radiology | FL | |
| Diagnostic Radiology, Interventional Radiology | OH | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | WI | |
| - | FL | |
| Neurology, Nuclear Medicine, Diagnostic Radiology | FL | |
| Diagnostic Radiology | KY | |
| - | FL | |
| Diagnostic Radiology | TN |
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