Individual provider Active NPI

Carolyn H Ahn, FNP

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1033754098
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AP143437 Issued in TX
Practice address
5941 Dallas Pkwy
Plano, TX 75093-9001
Phone
(972) 758-4455
Fax
(972) 758-4433
NPI assigned
Nov 14, 2019
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AP143437 TX Primary

Addresses

Primary practice location

5941 Dallas Pkwy
Plano, TX 75093-9001

Mailing address

5941 Dallas Pkwy
Plano, TX 75093-9001
Phone (972) 758-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220131001394 TX Practitioner - Nurse Practitioner 6507259330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors of Internal Medicine PAGroup PAC ID 5092750620, 27 clinicians

Practice addresses (Care Compare)

5941 Dallas Pkwy
Suite 100
Plano, TX 75093-9002
Phone (972) 758-4455

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP143437TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Internal Medicine PLLC Internal Medicine CurrentSince Oct 23, 2021 Accepting new patients

Locations

240 Adriatic Pkwy
McKinney, TX 75072
Phone (972) 369-1471

5941 Dallas Pkwy
Plano, TX 75093
Phone (972) 758-4455

5941 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (972) 758-4455

Interoperability endpoints

  • Direct secure messaging: carolyn.ahn@doim.eclinicaldirectplus.com

Organizations & group practices 1

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1033754098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 DALLAS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750939001",
            "telephone_number": "972-758-4455",
            "fax_number": "972-758-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 DALLAS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750939001",
            "telephone_number": "972-758-4455",
            "fax_number": "972-758-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "CAROLYN",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "AP143437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.