DR. KATHLEEN HANOVER (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1437504453

DR. KATHLEEN HANOVER (M.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 01084044A (IN). The NPI Number for DR. KATHLEEN HANOVER (M.D.) is 1437504453

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHLEEN HANOVER (M.D.)
NPI
1437504453
Phone
(317) 278-6833
Address
545 BARNHILL DRIVE
Enumeration Date
27 April 2016
Last Update Date
19 August 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3179263739
Graduation Year
2020 (6 years ago)
PAC ID
0244522647
Group Practice PAC ID
4587604962
Professional Enrollment ID
I20200630003039
Address ID
IN460374221FI11580DRXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

247 DERMATOLOGY in IN

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Provider Addresses for DR. KATHLEEN HANOVER (M.D.)

  • 545, Barnhill Drive, Indianapolis, Marion, Indiana, 46202, United States

    EMERSON HALL 139 ATTN: KELLI CASSIDY

    INDIANAPOLIS, IN 46202

    Phone: (317) 278-6833

    Type: Location

  • 725 Lakefront Ct

    Carmel, IN 460325893

    Phone: (317) 926-3739

    Type: Location

  • 875 AIRPORT PKWY

    GREENWOOD, IN 461431085

    Phone: (317) 926-3739

    Type: Mailing

  • 11580 OVERLOOK DR STE 300

    FISHERS, IN 460374221

    Phone: (317) 926-3739

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 310 Open Payments records for all available years, with a total value of $4,619.

Total Amount is formed as General ($4,619) + Research ($0) + Ownership ($0) = $4,619.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($890).

Total Amount

$4,619

General + Research + Ownership

Payments

310

Total payment records

General Amount

$4,619

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-06-30

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
I20200630003039IDermatologyINTBD

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
17003Destruction of precancer skin growth, 2-14 growths675168$0
99213Established patient office or other outpatient visit, 20-29 minutes599426$0
11102Biopsy of related skin growth, first growth350284$0
17000Destruction of precancer skin growth, 1 growth307242$0
17110Destruction of skin growth, 1-14 growths216177$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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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: 4587604962View full group profile
NameSpecialtyState
-VA
D E R M A T O L O G YKY
-IN
D E R M A T O L O G YIN
D E R M A T O L O G YPA
D E R M A T O L O G YIN
Physician AssistantIN
Physician AssistantIN
D E R M A T O L O G YSC
-IN

Reviews

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Frequently asked questions

What number should I use to identify DR. KATHLEEN HANOVER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1437504453 for DR. KATHLEEN HANOVER (M.D.).
Does the public listing show DR. KATHLEEN HANOVER (M.D.) as active?
DR. KATHLEEN HANOVER (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. KATHLEEN HANOVER (M.D.) provide?
DR. KATHLEEN HANOVER (M.D.)'s profile centers on Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is DR. KATHLEEN HANOVER (M.D.) tied to Indianapolis, Indiana?
If you are local to Indianapolis, Indiana, DR. KATHLEEN HANOVER (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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