Active NPI
Michael Myung-Sup Han, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 01095260A
- Practice address
- 201 Pennsylvania Pkwy Ste 225
Carmel, IN 46280-1399 - Phone
- (317) 573-1000
- NPI assigned
- Mar 25, 2020
- Last updated
- Sep 25, 2025
- 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 |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 01095260B | IN | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 01095260A | IN | Primary |
| Ophthalmology Physician | 207W00000X | A184732 | CA | |
| Neuro-ophthalmology Physician | 207WX0109X | A184732 | CA |
Addresses
Primary practice location
201 Pennsylvania Pkwy Ste 225
Carmel, IN 46280-1399
Mailing address
201 Pennsylvania Pkwy Ste 225
Carmel, IN 46280-1399
Phone (317) 573-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IN
- 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
- Ophthalmology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Pennsylvania Pkwy
Suite 225
Carmel, IN 46280-1399
Phone (317) 573-1000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A184732 | CA | MD | Ophthalmology Physician |
| 01095260A | IN | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
| 01095260B | IN | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Oculofacial Plastic and Orbital Surgery, LLC | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Ophthalmology | Current | Accepting new patients |
| The Regents of the University of California-Irvine | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1450 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-6335
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
101 The City Dr S
Ste 400
Orange, CA 92868
Phone (714) 456-5691
7092 Solutions Ctr
Chicago, IL 60677
201 Pennsylvania Pkwy
Ste 225
Carmel, IN 46280
Phone (317) 573-1000
Networks
- IL PPO Downstate
- KY PPO
- IL HMO C-SNP
- KY PPO C-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- OH PPO
Interoperability endpoints
- mhan487466@reidhealth.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Indianapolis, IN
- NPI 1881788735
-
dba Fair Oaks Clinic
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
dba UC Irvine Hospitalist Program
- Hospitalist Physician
- Orange, CA
- NPI 1154479723
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1003443300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PENNSYLVANIA PKWY STE 225",
"city": "CARMEL",
"state": "IN",
"postal_code": "462801399",
"telephone_number": "317-573-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PENNSYLVANIA PKWY STE 225",
"city": "CARMEL",
"state": "IN",
"postal_code": "462801399",
"telephone_number": "317-573-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "MICHAEL",
"middle_name": "MYUNG-SUP",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "IN",
"license": "01095260B",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "IN",
"license": "01095260A",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A184732",
"primary": false
},
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "CA",
"license": "A184732",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.