Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Hannallah, MD, MBA, MPH

Individual provider Diagnostic Radiology Physician · NPI 1497018915

Dr. Jack Hannallah, MD, MBA, MPH is a Diagnostic Radiology in Tucson, Arizona. Graduated from University of Arizona College of Medicine in 2012, 14 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
14
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone: (520) 694-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 51583 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 51583 (AZ)

Record details

NPI number1497018915
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA , MPH
Sole proprietorNo
NPI enumeratedJune 19, 2012
Last updated in NPPESJuly 3, 2025
Certification dateJune 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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