Susan Junghee Hahm, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A97007 Issued in CA

Practice address

751 W Legion Rd
Suite 201
Brawley, CA 92227-7732

Phone

(760) 351-0025

Fax

(760) 344-6954

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

General Surgery

Education

Chicago College of Medicine and Surgery, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vein Clinic IncGroup PAC ID 7810034980, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pioneers Memorial Healthcare District Hospital, Brawley, CA, CCN 050342
• El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Susan J Hahm MD Inc

  • Surgery Physician
  • Brawley, CA
  • NPI 1932475597
  Medicare reassignment NPD Authorized official
• Vein Clinic Inc

  • Surgery Physician
  • El Centro, CA
  • NPI 1588896807
  Medicare reassignment Care Compare group
• Hamid Zadeh MD Inc

  • Obstetrics & Gynecology Physician
  • Imperial, CA
  • NPI 1356655492
  NPD (past)
• J Vemulapalli MD Inc

  • Urology Physician
  • Brawley, CA
  • NPI 1659526317
  NPD (past)
• Pioneers Memorial Healthcare District

  • Rural Health Clinic/Center
  • Calexico, CA
  • NPI 1437122769
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Centro Regional Medical Center

  • General Acute Care Hospital
  • El Centro, CA
  • NPI 1861409823
  Care Compare affiliation
• Imperial Valley Healthcare District

  • General Acute Care Hospital
  • Brawley, CA
  • NPI 1184429185
  Care Compare affiliation

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1104922590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD",
            "address_2": "SUITE 201",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277732",
            "telephone_number": "760-351-0025",
            "fax_number": "760-344-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD",
            "address_2": "SUITE 201",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277732",
            "telephone_number": "760-351-0025",
            "fax_number": "760-344-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHM",
        "first_name": "SUSAN",
        "middle_name": "JUNGHEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A97007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104922590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ajanamjot K Grewal, MD
• Egbert Fitzstephen Grinage Jr., MD
• Vidhi Gupta
• Alba Gutierrez, PAC
• Priscilla Gutierrez, NP
• Michael V Hall, CRNA
• Darius V Halliday, DDS
• Mostafa A Hamdy, MD
• Roukaya Tarek Hassanein, MD
• Kyler Heitman, RDN

• Surgery Physician in Brawley, CA
• Providers in Brawley, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.

Verify at the official NPI Registry.