DR. JACK HANNALLAH MD MBA MPH NPI 1497018915

NPI Details

DR. Jack Hannallah, MD, MBA, MPH is a vascular and interventional radiology radiology in Tucson, AZ with 14 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Jack Hannallah, MD, MBA, MPH NPI is 1497018915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1625 N CAMPBELL AVE
TUCSON, AZ
ZIP 85719-330
Phone: (520) 694-0111

The NPI 1497018915 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
• Ultrasonic guidance for blood vessel access (HCPCS:76937)
• Ultrasonic guidance for needle placement (HCPCS:76942)
• Review by radiologist of ct guidance for needle placement (HCPCS:77012)
• Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
• Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
• Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)
• Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
• Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 6/19/2012 and was last updated on 7/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: