KEVIN HANNAWA – Vascular & Interventional Radiology Physician, NPI 1609035252

KEVIN HANNAWA is a healthcare provider. based in Grand rapids, Michigan. specializing in INTERVENTIONAL RADIOLOGY. They hold a License No. 4301092277 (MI). The NPI Number for KEVIN HANNAWA is 1609035252

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN HANNAWA
NPI
1609035252
Phone
(616) 363-7339
Address
3264N EVERGREEN NEDR
Enumeration Date
7 June 2008
Last Update Date
8 September 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2488583000
Graduation Year
2008 (18 years ago)
PAC ID
1759698467
Group Practice PAC ID
7315859832
Professional Enrollment ID
I20150914000261
Address ID
MI483415023PO44405AVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

219 INTERVENTIONAL RADIOLOGY in MI

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Provider Addresses for KEVIN HANNAWA

  • 3264N EVERGREEN NEDR

    GRAND RAPIDS, MI 495259746

    Phone: (616) 363-7339

    Fax: (616) 361-5828

    Type: Mailing

  • McAuley Drive, Ypsilanti, Washtenaw County, Michigan, 48107, United States

    SUITE 2111

    YPSILANTI, MI 481971014

    Phone: (734) 712-5001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,790.

Total Amount is formed as General ($1,790) + Research ($0) + Ownership ($0) = $1,790.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Terumo Medical Corporation ($1,438).

Total Amount

$1,790

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,790

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-09-14

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
I20150914000261IInterventional RadiologyMITBD

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
71045X-ray of chest, 1 view412387$0
71046X-ray of chest, 2 views331322$0
74177Ct scan of abdomen and pelvis with contrast302293$0
71250Ct scan of chest without contrast185181$0
71260Ct scan of chest with contrast151147$0
View full utilization report →

Insurance plans in this area (ZIP 49525)

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Provider's Procedures

KEVIN HANNAWA performs procedures in INTERVENTIONAL RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71250CT scan chest2222
DIAGNOSTIC RADIOLOGYMI74177CT scan of abdomen and pelvis with contrast3939

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: 7315859832View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyMN
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyIN
Interventional RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyIN

Reviews

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Frequently asked questions

How do payers reference KEVIN HANNAWA?
For KEVIN HANNAWA, use NPI 1609035252 as the unique 10-digit identifier.
Is KEVIN HANNAWA still an active registrant?
KEVIN HANNAWA carries an active NPI according to the public dataset.
What expertise is attributed to KEVIN HANNAWA?
KEVIN HANNAWA's specialty line reads Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Is KEVIN HANNAWA associated with Grand Rapids?
Public fields place KEVIN HANNAWA around Grand Rapids, Michigan. Always confirm the exact site before visiting.
Does KEVIN HANNAWA accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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