Active NPI
Samuel Y. Han, M.D.
- Gastroenterology Physician
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 76613
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Jun 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 35.139767 | OH | |
| Internal Medicine Physician | 207R00000X | 251971 | MA | |
| Internal Medicine Physician | 207R00000X | 35.139767 | OH | |
| Gastroenterology Physician | 207RG0100X | 76613 | MN | Primary |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-6255
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shan2211808@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Massachusetts Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 480 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251971 | MA | MD | Internal Medicine Physician |
| 76613 | MN | MD | Gastroenterology Physician |
| 35.139767 | OH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians-North LLC | Internal Medicine | Current | Accepting new patients |
| Mercy Medical Partners Northern Region Specialty Care LLC | Current | Accepting new patients | |
| Mercy Medical Partners Northern Region LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lorain Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mayo Clinic | Gastroenterology | Current | Accepting new patients |
| Mayo Clinic | Current | Accepting new patients | |
| Mercy Health Physicians Lorain Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lorain, LLC | Internal Medicine | Current | Accepting new patients |
| Mercy Health Physicians, Lorain, LLC | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Mercy Medical Partners Northern Region Specialty Care LLC | Current | Accepting new patients | |
| Mercy Medical Partners Northern Region LLC | Current | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912
4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
410 W 10th Ave
#235
Columbus, OH 43210
1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069
1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666
Interoperability endpoints
- shan2211808@ehrdirect.mayoclinicmsg.org
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Surgery Physician
- Lorain, OH
- NPI 1972126381
-
- Family Medicine Physician
- Lorain, OH
- NPI 1023347192
Internal Medicine
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Defiance, OH
- NPI 1669756532
-
- Surgery Physician
- Defiance, OH
- NPI 1730701749
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1538568928
-
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
-
- Durable Medical Equipment & Medical Supplies
- Vermilion, OH
- NPI 1255063145
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, MN
- NPI 1841266194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1003177304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
}
],
"practiceLocations": [
{
"address_1": "410 W 10th Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101240",
"country_code": "US",
"telephone_number": "614-293-6255",
"fax_number": "614-293-1456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAN",
"first_name": "SAMUEL",
"middle_name": "Y.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-04",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35.139767",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "251971",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.139767",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MN",
"license": "76613",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shan2211808@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "200 1st St SW",
"city": "Rochester",
"state": "MN",
"country_code": "US",
"postal_code": "559050001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.