Individual provider Active NPI

Robert F Han, MD

  • Specialist
  • Iron River, MI
National Provider Identifier
1003859406
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301038494 Issued in MI
Practice address
417 Washington Ave
Iron River, MI 49935-2214
Phone
(906) 265-9908
Fax
(906) 265-5921
NPI assigned
Jun 14, 2006
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301038494 MI Primary

Addresses

Primary practice location

417 Washington Ave
Iron River, MI 49935-2214

Mailing address

417 Washington Ave
Iron River, MI 49935-2214
Phone (906) 265-9908

Other identifiers 1

IdentifierTypeStateIssuer
101404383MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040508000091 MI Practitioner - Internal Medicine 4880507524

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301038494MIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Iron County Medical Care Facility Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: roberthan@icim.ssdirect.aprima.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1003859406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 WASHINGTON AVE",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499352214",
            "telephone_number": "906-265-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 WASHINGTON AVE",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499352214",
            "telephone_number": "906-265-9908",
            "fax_number": "906-265-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301038494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101404383",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron River, MI

Sources for this page

Verify at the official NPI Registry.