ERIC DAVID HANSEN (BA) – Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1841532231

ERIC DAVID HANSEN (BA) is a healthcare provider. based in Chicago, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials BA. They hold a License No. 288063 (NY). The NPI Number for ERIC DAVID HANSEN (BA) is 1841532231

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
ERIC DAVID HANSEN (BA)
NPI
1841532231
Phone
(315) 576-0590
Address
3708 N HERMITAGE AVE
Enumeration Date
23 March 2013
Last Update Date
14 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
7168452300
Graduation Year
2013 (13 years ago)
PAC ID
1850697020
Group Practice PAC ID
3577475110
Professional Enrollment ID
I20170518000670
Address ID
NY142630001BUELMXXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,828 INTERNAL MEDICINE in IL

Provider Addresses for ERIC DAVID HANSEN (BA)

  • 3708 N HERMITAGE AVE

    APT 1

    CHICAGO, IL 606133509

    Phone: (315) 576-0590

    Type: Mailing

  • 420 E Superior St

    Chicago, IL 606114494

    Phone: (312) 503-7975

    Type: Location

  • ELM AND CARLTON STREETS

    BUFFALO, NY 142634494

    Phone: (716) 845-2300

    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: 2017-05-18

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
I20170518000670IInternal MedicineNYTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes5638$0
99497Advance care planning, first 30 minutes3429$0
99214Established patient office or other outpatient visit, 30-39 minutes2315$0
99205New patient office or other outpatient visit, 60-74 minutes1414$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60613)

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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: 3577475110View full group profile
NameSpecialtyState
Nurse PractitionerNY
Nurse PractitionerNY
P A T H O L O G YVA
Nurse PractitionerNY
Diagnostic RadiologyNY
Nurse PractitionerNY
-NY
Physician AssistantNY
Physician AssistantNY
Physician AssistantPA

Reviews

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Frequently asked questions

What unique ID ties claims to ERIC DAVID HANSEN (BA)?
NPI 1841532231 is assigned to ERIC DAVID HANSEN (BA) under the national enumeration system.
Is ERIC DAVID HANSEN (BA)'s NPI currently valid?
The extract we use shows ERIC DAVID HANSEN (BA) as active.
Does ERIC DAVID HANSEN (BA) list a primary specialty?
If you are matching referrals, note Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician for ERIC DAVID HANSEN (BA). Clinical services aligned with this taxonomy classification.
What location metadata exists for ERIC DAVID HANSEN (BA)?
The page summarizes Chicago, Illinois for ERIC DAVID HANSEN (BA); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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