THEODORE HANLEY (M.D.) – Anesthesiology Physician, NPI 1235183559
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,340 ANESTHESIOLOGY in FL
Provider Addresses for THEODORE HANLEY (M.D.)
10601 GANDY BLVD N APT 4302
SAINT PETERSBURG, FL 337021505
Phone: (517) 787-6440
Fax: (517) 787-4146
Type: Mailing
255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492012218
Phone: (517) 787-6440
Fax: (517) 787-4146
Type: Mailing
1879, Madison Avenue, East Harlem, Manhattan Community Board 11, Manhattan, New York County, New York, 10035, United States
NEW YORK, NY 100352709
Phone: (212) 423-4079
Type: Location
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: 2018-10-17
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 |
|---|---|---|---|---|
| I20181017001908 | I | Anesthesiology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | GA |
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