LAURA J HANAHAN (M.D.) – Pediatric Radiology Physician, NPI 1578566972
Pediatric Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,804 DIAGNOSTIC RADIOLOGY in OH
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Provider Addresses for LAURA J HANAHAN (M.D.)
PO BOX 776879
CHICAGO, IL 606776879
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
Hudson Drive, Hudson, Summit County, Ohio, 44236, United States
HUDSON, OH 442364455
Phone: (330) 655-1869
Fax: (330) 655-3828
Type: Location
13123 E 16th Ave
Aurora, CO 800457106
Phone: (720) 777-1234
Type: Location
3695 GREEN RD
UNIT 22778
BEACHWOOD, OH 441227939
Phone: (330) 655-1869
Fax: (330) 655-3828
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: 2023-01-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20040608000818 | I | Diagnostic Radiology | TX | TBD |
| I20071003000466 | I | Diagnostic Radiology | OH | TBD |
| I20150717001279 | I | Diagnostic Radiology | IL | TBD |
| I20180523001034 | I | Diagnostic Radiology | WA | TBD |
| I20200604000192 | I | Diagnostic Radiology | TN | TBD |
| I20201118000529 | I | Diagnostic Radiology | FL | TBD |
| I20211213001427 | I | Diagnostic Radiology | CA | TBD |
| I20230110002553 | I | Diagnostic Radiology | KY | 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 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MS | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Pediatric Medicine, Cardiovascular Disease (Cardiology), Interventional Cardiology | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology | TN | |
| Pediatric Medicine, Nephrology, Nephrology, Pediatric Medicine | TX | |
| Nephrology, Internal Medicine, Nephrology, Pediatric Medicine | TN | |
| Pediatric Medicine, Nephrology | TX |
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