FADY HANNA (D.O.) – Anesthesiology Physician, NPI 1508306150

FADY HANNA (D.O.) is a healthcare provider. based in Watertown, New York. specializing in ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. OS17387 (FL). The NPI Number for FADY HANNA (D.O.) is 1508306150

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
FADY HANNA (D.O.)
NPI
1508306150
Phone
(727) 858-0860
Address
15674 EIMICKE PL
Enumeration Date
1 March 2017
Last Update Date
12 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2017 (9 years ago)
PAC ID
4587070370
Group Practice PAC ID
1153385612
Professional Enrollment ID
I20210302001948
Address ID
FL335588005LU4211XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

580 ANESTHESIOLOGY in OK

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Provider Addresses for FADY HANNA (D.O.)

  • 15674 EIMICKE PL

    BUILDING 3 APARTMENT 404

    WATERTOWN, NY 136015939

    Phone: (727) 858-0860

    Type: Mailing

  • Oklahoma State University Medical Center, 744, West 9th Street, Crosbie Heights, Tulsa, Tulsa County, Oklahoma, 74127, United States

    TULSA, OK 741279020

    Phone: (918) 599-1000

    Type: Location

  • 5085 NIGHT STAR TRL

    ODESSA, FL 335564576

    Phone: (727) 858-0860

    Type: Mailing

  • 4211 VAN DYKE RD

    LUTZ, FL 335588005

    Phone: (918) 599-1000

    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: 2021-03-02

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
I20210302001948IAnesthesiologyFLTBD

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
00142Anesthesia for lens surgery3634$0
00811Anesthesia for other procedure on large bowel using an endoscope3535$0
00812Anesthesia for exam of colon using an endoscope3333$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2727$0
00813Anesthesia for procedure on small and large bowel using an endoscope2525$0
View full utilization report →

Insurance plans in this area (ZIP 13601)

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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: 1153385612View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
A N E S T H E S I O L O G YFL
-FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL

Reviews

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Frequently asked questions

Can I cross-check FADY HANNA (D.O.) using NPI 1508306150?
NPI 1508306150 belongs to FADY HANNA (D.O.); compare other details if you need extra assurance.
Active or inactive — what applies to FADY HANNA (D.O.)?
You should see FADY HANNA (D.O.) as active in CMS-hosted NPPES data.
What area of care is associated with FADY HANNA (D.O.)?
FADY HANNA (D.O.)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for FADY HANNA (D.O.)?
Travel planning: use Watertown, New York as the reference point for FADY HANNA (D.O.), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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