Individual provider Active NPI

Holly B. Hahn, M.D.

  • Dermatology Physician
  • Dayton, OH
National Provider Identifier
1023125994
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.094838 Issued in OH
Practice address
999 Brubaker Dr Ste 3
Dayton, OH 45429-3505
Phone
(937) 668-9850
Fax
(937) 668-8668
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 230724-1 NY
Dermatology Physician 207N00000X 35.094838 OH Primary

Addresses

Primary practice location

999 Brubaker Dr Ste 3
Dayton, OH 45429-3505

Mailing address

8020 Brainard Woods Dr
Centerville, OH 45458-2907
Phone (585) 734-9118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100923001310 OH Practitioner - Dermatology 9931199866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230724NYMDLicensed Practical Nurse
230724-1NYMDSpecialist
35.094838OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Skin Surgery and Cosmetic Center Dermatology CurrentSince Apr 15, 2024 Accepting new patients
Mason Dermatology Center Inc Dermatology Past Accepting new patients
University Dermatology, Inc. Dermatology PastSince Jan 1, 2007 Accepting new patients

Locations

999 Brubaker Dr
Ste 3
Kettering, OH 45429
Phone (937) 668-9850

Interoperability endpoints

  • Direct secure messaging: holly.hahn@adcs1.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1023125994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 BRAINARD WOODS DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582907",
            "telephone_number": "585-734-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 BRUBAKER DR STE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454293505",
            "telephone_number": "937-668-9850",
            "fax_number": "937-668-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "HOLLY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "230724-1",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.094838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.