MAMDOUH S HANNA (M.D.) – Specialist, NPI 1073517462

MAMDOUH S HANNA (M.D.) is a healthcare provider. based in Bayonne, New Jersey. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 25MA07574700 (NJ). The NPI Number for MAMDOUH S HANNA (M.D.) is 1073517462

Main info

Male
40 Years Of Experience
Name
MAMDOUH S HANNA (M.D.)
NPI
1073517462
Phone
(201) 858-5000
Address
29 E 29TH ST
Enumeration Date
13 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2014717246
Graduation Year
1986 (40 years ago)
PAC ID
9335126648
Professional Enrollment ID
I20040706000332
Address ID
NJ070023846BA631XXBROA200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,671 ANESTHESIOLOGY in NJ

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Provider Addresses for MAMDOUH S HANNA (M.D.)

  • Bayonne Medical Center, 29, East 29th Street, Bayonne, Hudson County, New Jersey, 07002, United States

    BAYONNE, NJ 070024654

    Phone: (201) 858-5000

    Type: Location

  • PO BOX 464

    RUTHERFORD, NJ 070700464

    Phone: (201) 804-2800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

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: 2013-10-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040706000332IAnesthesiologyNJTBD
I20131009000201IAnesthesiologyNYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes52425$0
80305Testing for presence of drug, read by direct observation5813$0
View full utilization report →

Insurance plans in this area (ZIP 07002)

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Reviews

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Frequently asked questions

Is MAMDOUH S HANNA (M.D.) listed with a National Provider Identifier?
Yes — MAMDOUH S HANNA (M.D.) has NPI 1073517462 on file in the registry.
Would MAMDOUH S HANNA (M.D.) appear as active to a payer?
You can treat MAMDOUH S HANNA (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MAMDOUH S HANNA (M.D.)?
MAMDOUH S HANNA (M.D.)'s specialty line reads Other Service Providers. Clinical services aligned with this taxonomy classification.
Where in New Jersey is MAMDOUH S HANNA (M.D.) registered?
Use Bayonne, New Jersey as the headline location for MAMDOUH S HANNA (M.D.) here.
When was this NPI issued?
Enumeration for MAMDOUH S HANNA (M.D.) is noted as June 13, 2005 where the registry provides it.

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