Individual provider Active NPI

Michael Myung-Sup Han, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Carmel, IN
National Provider Identifier
1003443300
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
01095260A Issued in IN
Practice address
201 Pennsylvania Pkwy Ste 225
Carmel, IN 46280-1399
Phone
(317) 573-1000
NPI assigned
Mar 25, 2020
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240506001444 CA Practitioner - Ophthalmology 8628483401 Reassigns benefits to 1 organization
I20250531000105 IN Practitioner - Ophthalmology 8628483401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oculofacial Plastic and Orbital Surgery, LLCGroup PAC ID 3870699135, 2 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A184732CAMDOphthalmology Physician
01095260AINMDOphthalmic Plastic and Reconstructive Surgery Physician
01095260BINMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2024 Accepting new patients
Oculofacial Plastic and Orbital Surgery, LLC CurrentSince Jul 1, 2025 Accepting new patients
Usc Care Medical Group, Inc Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients
The Regents of the University of California-Irvine PastSince Mar 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.