NATHAN PAUL HANNEMANN (D.O.) – Diagnostic Radiology Physician, NPI 1861734592
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for NATHAN PAUL HANNEMANN (D.O.)
5005 N PIEDRAS ST
EL PASO, TX 79920
Phone: (915) 742-1753
Type: Mailing
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 782344504
Phone: (210) 916-3290
Fax: (210) 916-9256
Type: Location
22100 BOTHELL EVERETT HWY
BOTHELL, WA 980218431
Phone: (084) 162-9322
Type: Mailing
7938 CISTENA WAY
PARKER, CO 801342717
Phone: (208) 416-2932
Type: Location
PO BOX 1725
GRAND ISLAND, NE 688021725
Phone: (308) 398-6400
Fax: (308) 398-6408
Type: Mailing
3610 RICHMOND CIR STE 100
GRAND ISLAND, NE 688033910
Phone: (308) 398-6400
Fax: (308) 398-6408
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: 2023-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181203001132 | I | Diagnostic Radiology | TX | TBD |
| I20220607001692 | I | Diagnostic Radiology | CO | TBD |
| I20231003002557 | I | Diagnostic Radiology | IN | TBD |
| I20231009000718 | I | Diagnostic Radiology | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 686 | 626 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 388 | 383 | $0 |
| 70450 | Ct scan head or brain without contrast | 361 | 348 | $0 |
| 71046 | X-ray of chest, 2 views | 318 | 309 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 312 | 312 | $0 |
Insurance plans in this area (ZIP 79920)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Physician Assistant | OH | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | OH | |
| Physician Assistant | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | MI |
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