Timothy D. Hanaway, M.D.
NPI 1093101586ActiveIndividual· Emergency Medicine· Nellis Afb, NV
Emergency Medicine (M.D.) in Nellis Afb, Nevada, trained at University of Missouri, Kansas City, School of Medicine (class of 2015). 18 Medicare patients in 2024, $1,327 paid; nearly all of their 96 Part D prescriptions were generic (98%).
Overview
| NPI | 1093101586 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 10, 2015 |
| Last updated in NPPES | Jan 13, 2023 |
| Certified by provider | Jul 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 036146238 | IL |
| Emergency Medicine | 207P00000X | A172707 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 19 across 5 procedure codes |
| Paid by Medicare | $1,327 |
Part D prescriptions in 2024
| Prescriptions (claims) | 96 · 99 30-day fills |
|---|---|
| Patients | 76 |
| Total drug cost | $1,639 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of Missouri, Kansas City, School of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Emergency Medicine |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Hospital affiliation
- Kaiser Foundation Hospital - DowneyDowney, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 59 emergency medicine physicians in Nellis Afb · All emergency medicine physicians in Nevada