Active NPI
Jisun Hahn, M.D.
- Gastroenterology Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2026-02682
- Practice address
- 1520 Physicians Dr
Wilmington, NC 28401-7356 - Phone
- (910) 662-8300
- Fax
- (910) 777-5963
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2026-02682 | NC | Primary |
| Gastroenterology Physician | 207RG0100X | T0799 | TX |
Addresses
Primary practice location
1520 Physicians Dr
Wilmington, NC 28401-7356
Mailing address
PO Box 936857
Atlanta, GA 31193-6857
Other practice location 1
34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098
Phone (619) 532-8250
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MD, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Oklahoma College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
13285 Minnieville Rd
Woodbridge, VA 22192-4018
Phone (703) 986-2400
1396 Piccard Dr
Rockville, MD 20850-4302
Phone (301) 548-5700
2391 Greenspring Dr
Timonium, MD 21093-6038
Phone (301) 816-2424
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0799 | TX | MD | Gastroenterology Physician |
Practice roles
Locations
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700
1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100
2101 E Jefferson St
Ste 4EPFS
Rockville, MD 20852
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
#4E
Rockville, MD 20852
2391 Greenspring Dr
Timonium, MD 21093
Phone (410) 847-3000
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
13285 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 986-2400
Organizations & group practices 14
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.
-
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1043378656
Gastroenterology
-
- Ambulatory Surgical Clinic/Center
- MC Lean, VA
- NPI 1073678637
DC
-
- Ambulatory Surgical Clinic/Center
- Woodbridge, VA
- NPI 1114677572
-
- Ambulatory Surgical Clinic/Center
- Largo, MD
- NPI 1366781700
DC
-
- Ambulatory Surgical Clinic/Center
- Timonium, MD
- NPI 1457023616
-
- Ambulatory Surgical Clinic/Center
- Gaithersburg, MD
- NPI 1497023188
DC
-
- Ambulatory Surgical Clinic/Center
- Kensington, MD
- NPI 1578638425
DC
-
- Health Maintenance Organization
- Lansdowne, VA
- NPI 1861552721
Internal Medicine
-
- Ambulatory Surgical Clinic/Center
- Halethorpe, MD
- NPI 1942546486
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Internal Medicine
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1043470628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936857",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311936857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 PHYSICIANS DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017356",
"telephone_number": "910-662-8300",
"fax_number": "910-777-5963"
}
],
"practiceLocations": [
{
"address_1": "34800 Bob Wilson Dr",
"address_2": "NMCSD",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921341098",
"country_code": "US",
"telephone_number": "619-532-8250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAHN",
"first_name": "JISUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "2026-02682",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "T0799",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "34800 Bob Wilson Dr",
"address_2": "NMCSD",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921341098",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.