DR. JOHN HANSEN (MD) – Diagnostic Radiology Physician, NPI 1639563034

DR. JOHN HANSEN (MD) is a healthcare provider. based in Toledo, Ohio. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. 35.142675 (OH). The NPI Number for DR. JOHN HANSEN (MD) is 1639563034

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN HANSEN (MD)
NPI
1639563034
Phone
Not provided
Address
3740 W SYLVANIA AVE
Enumeration Date
24 March 2015
Last Update Date
19 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8036441357
Graduation Year
2013 (13 years ago)
PAC ID
3678883733
Group Practice PAC ID
0244293322
Professional Enrollment ID
I20240918001049
Address ID
SC298016302AI302XXPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

Provider Addresses for DR. JOHN HANSEN (MD)

  • 3740 W SYLVANIA AVE

    STE 250

    TOLEDO, OH 436234461

    Phone:

    Type: Mailing

  • 36475 FIVE MILE RD

    LIVONIA, MI 481541971

    Phone: (734) 655-4800

    Fax: (734) 655-8430

    Type: Location

  • 1350 WALTON WAY

    AUGUSTA, GA 309012612

    Phone: (706) 722-9011

    Type: Location

  • 1125 TROUPE ST

    AUGUSTA, GA 309044480

    Phone: (706) 737-4275

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2023-01-30 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($78).

Total Amount

$78

General + Research + Ownership

Payments

2

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$78
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: 2024-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210701003592IDiagnostic RadiologyOHTBD
I20220524001522IDiagnostic RadiologyGATBD
I20240918001049IDiagnostic RadiologySCTBD

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 view1,158929$0
70450Ct scan head or brain without contrast492458$0
71046X-ray of chest, 2 views378372$0
74176Ct scan of abdomen and pelvis without contrast243242$0
71250Ct scan of chest without contrast178173$0
View full utilization report →

Insurance plans in this area (ZIP 43623)

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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: 0244293322View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic RadiologyGA
-GA
Diagnostic RadiologyCO
Diagnostic RadiologyGA
Diagnostic RadiologyGA
-CA

Reviews

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Frequently asked questions

What is the registry number for DR. JOHN HANSEN (MD)?
The registry entry for DR. JOHN HANSEN (MD) shows NPI 1639563034.
Is DR. JOHN HANSEN (MD)'s NPI status active today?
Active status means DR. JOHN HANSEN (MD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. JOHN HANSEN (MD)'s specialty?
The extract shows Diagnostic Radiology Physician for DR. JOHN HANSEN (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHN HANSEN (MD)?
DR. JOHN HANSEN (MD) is associated with Toledo, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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