Individual provider Active NPI

Jiho Joseph Han, M.D.

  • Cardiovascular Disease Physician
  • Prince George, VA
National Provider Identifier
1063434082
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101043040 Issued in VA
Practice address
4700 Puddledock Rd
400
Prince George, VA 23875-1268
Phone
(804) 458-1740
Fax
(804) 541-1846
NPI assigned
Jul 25, 2006
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 0101043040 VA
Cardiovascular Disease Physician 207RC0000X 0101043040 VA Primary

Addresses

Primary practice location

4700 Puddledock Rd
400
Prince George, VA 23875-1268

Mailing address

8001 Franklin Farms Dr
Suite 130
Richmond, VA 23229-5108
Phone (804) 521-5800

Other practice location 1

417 N 11th St
Richmond, VA 23298-5024
Phone (804) 628-4327

Other identifiers 18

IdentifierTypeStateIssuer
276230OtherVAANTHEM/VA HEALTHKEEPERS
72342OtherVASOUTHERN HEALTH SERVICES
276199OtherVAANTHEM/VA HEALTHKEEPERS
5807344MedicaidVA
94583250OtherVACHAMPUS/TRICARE
304579OtherVAMAMSI
60044903OtherVARAILROAD MEDICARE
276355OtherVAANTHEM/VA HEALTHKEEPERS
276248OtherVAANTHEM/VA HEALTHKEEPERS
276297OtherVAANTHEM/VA HEALTHKEEPERS
531349OtherVACIGNA
553980OtherVIAETNA/US HEALTHCARE HMO
103863OtherVAANTHEM/VA HEALTHKEEPERS
27413300OtherVAFEDERAL BLACK LUNG
4652158OtherVAAETNA/US HEALTHCARE
25-00389OtherVAUNITED HEALTHCARE
271955OtherVAANTHEM/VA HEALTHKEEPERS
44223OtherVASENTARA HEALTH/OPTIMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhan@direct.vacardio.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040831000169 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850366121 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

417 N 11TH St
Richmond, VA 23298-5024
Phone (804) 828-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cardiovascular Specialists CurrentSince Dec 17, 1997 Accepting new patients
Virginia Cardiovascular Specialists Cardiovascular Disease CurrentSince Dec 17, 1997 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. CurrentSince Jun 20, 2015 Accepting new patients
MCV Associated Physicians CurrentSince Jul 3, 2025 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. Current Accepting new patients
Columbia/HCA John Randolph, Inc. Cardiovascular Disease Past Accepting new patients

Locations

411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624

4700 Puddledock Rd
Ste 400
Prince George, VA 23875
Phone (804) 458-1740

5875 Bremo Rd
Ste 104
Richmond, VA 23226
Phone (804) 281-8182

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

8001 Franklin Farms Dr
Rm 130
Richmond, VA 23229
Phone (804) 521-5800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1063434082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 FRANKLIN FARMS DR",
            "address_2": "SUITE 130",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295108",
            "telephone_number": "804-521-5800",
            "fax_number": "804-545-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 PUDDLEDOCK RD",
            "address_2": "400",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751268",
            "telephone_number": "804-458-1740",
            "fax_number": "804-541-1846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985024",
            "country_code": "US",
            "telephone_number": "804-628-4327",
            "fax_number": "804-593-4276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "JIHO",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101043040",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101043040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276230",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SERVICES",
            "identifier": "72342",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276199",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5807344",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "94583250",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "304579",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "60044903",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276355",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276248",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276297",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "531349",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE HMO",
            "identifier": "553980",
            "state": "VI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "103863",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "27413300",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "4652158",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "25-00389",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "271955",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA HEALTH/OPTIMA",
            "identifier": "44223",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhan@direct.vacardio.nextgenshare.com",
            "affiliation": "N",
            "address_1": "4700 Puddledock Rd",
            "address_2": "400",
            "city": "Prince George",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238751268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prince George, VA

Sources for this page

Verify at the official NPI Registry.