AIDA MALLOUHI HANNA (M.D..) – Internal Medicine Physician, NPI 1063440220

AIDA MALLOUHI HANNA (M.D..) is a healthcare provider. based in Brockton, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D... They hold a License No. 203922 (MA). The NPI Number for AIDA MALLOUHI HANNA (M.D..) is 1063440220

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
AIDA MALLOUHI HANNA (M.D..)
NPI
1063440220
Phone
(508) 941-7268
Address
130 QUINCY AVE
Enumeration Date
28 June 2006
Last Update Date
12 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089417268
Graduation Year
1986 (40 years ago)
PAC ID
0446142186
Group Practice PAC ID
7719876267
Professional Enrollment ID
I20040326000958
Address ID
MA023022803BR130XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Loading map...

Provider Addresses for AIDA MALLOUHI HANNA (M.D..)

  • 130 QUINCY AVE

    BROCKTON, MA 023022803

    Phone: (508) 941-7268

    Fax: (508) 894-0412

    Type: Mailing

  • Signature Healthcare Brockton Hospital, 680, Centre Street, Brockton, Plymouth County, Massachusetts, 02302, United States

    BROCKTON, MA 023023308

    Phone: (508) 941-7268

    Fax: (508) 941-6156

    Type: Mailing

  • 130, Quincy Avenue, Brockton, Plymouth County, Massachusetts, 02302, United States

    BROCKTON, MA 023022803

    Phone: (508) 941-7268

    Fax: (508) 894-0412

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-10-25 • Largest payer in this snapshot: Novo Nordisk Inc ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$23
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: 2004-03-26

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
I20040326000958IInternal MedicineMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes353158$0
99214Established patient office or other outpatient visit, 30-39 minutes211108$0
36415Insertion of needle into vein for collection of blood sample11392$0
View full utilization report →

Insurance plans in this area (ZIP 02302)

Loading plans...

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: 7719876267View full group profile
NameSpecialtyState
-MA
General SurgeryIL
E N D O C R I N O L O G YMI
-CA
-NY
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Orthopedic SurgeryMA
-NY
-MA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for AIDA MALLOUHI HANNA (M.D..)?
AIDA MALLOUHI HANNA (M.D..) — NPI 1063440220 — is the standard way to identify this listing.
Can I rely on AIDA MALLOUHI HANNA (M.D..) being an active provider?
As of the registry snapshot, AIDA MALLOUHI HANNA (M.D..) is marked active.
What healthcare role does AIDA MALLOUHI HANNA (M.D..) hold?
Scheduling teams often label AIDA MALLOUHI HANNA (M.D..) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does AIDA MALLOUHI HANNA (M.D..) list a practice location?
Patients near Brockton, Massachusetts may find AIDA MALLOUHI HANNA (M.D..) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

60 Hospital Rd
NPI: 1518969195

LAURIE L HAN (MD)

Internal Medicine Physician
72 MAIN ST
NPI: 1376535534
Signature Healthcare, 25, Warren Street, Randolph, Norfolk County, Massachusetts, 02368, United States
NPI: 1174515183

FRANK J BRESLIN (MD)

Pulmonary Disease Physician
1, Pearl Street, Brockton Heights, Brockton, Plymouth County, Massachusetts, 03201, United States
NPI: 1720072127

DR. BENJAMIN DAVID LIGHTFOOT (MD)

Internal Medicine Physician
63, Brockton, Northwood Pointe, Irvine, Orange County, California, 92620, United States
NPI: 1497749584

MARK S DICHTER (MD)

Internal Medicine Physician
Good Samaritan Medical Center, 235, North Pearl Street, Brockton, Plymouth County, Massachusetts, 02301, United States
NPI: 1275527020

PAUL R COUTU (MD)

Internal Medicine Physician
1, Pearl Street, Brockton Heights, Brockton, Plymouth County, Massachusetts, 03201, United States
NPI: 1114911757

BRUCE RING (MD)

Internal Medicine Physician
1, Pearl Street, Brockton Heights, Brockton, Plymouth County, Massachusetts, 03201, United States
NPI: 1427043678

DINO C CONSTANTINOU (MD)

Internal Medicine Physician
1, Pearl Street, Brockton Heights, Brockton, Plymouth County, Massachusetts, 03201, United States
NPI: 1770578932