DR. DONALD DOUGLAS HACKENBERG (MD) – Pediatrics Physician, NPI 1396737383
Pediatrics Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. DONALD DOUGLAS HACKENBERG (MD)
24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States
THIRD FLOOR - BILLING SERVICES
EUCLID, OH 441171714
Phone: (330) 762-9033
Fax: (330) 996-7031
Type: Mailing
370, East Market Street, Cascade Valley, Akron, Summit County, Ohio, 44304, United States
AKRON, OH 443041526
Phone: (330) 762-9033
Fax: (330) 996-7031
Type: Location
5603 Darrow Rd Ste 200
Hudson, OH 442365015
Phone: (330) 486-9780
Fax: (330) 486-3411
Type: Location
3800 Embassy Pkwy Ste 260
Fairlawn, OH 443338398
Phone: (330) 664-8120
Fax: (330) 664-8121
Type: Location
5603 DARROW RD STE 200
HUDSON, OH 442365015
Phone: (330) 486-9780
Fax: (330) 486-3411
Type: Mailing
857 GRAHAM RD
CUYAHOGA FALLS, OH 442211170
Phone: (330) 923-9585
Fax: (216) 427-9148
Type: Mailing
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: 2024-11-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241107002761 | I | Pediatric Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44117)
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