Active NPI
Nyun Calvin Han, M.D.
- Therapeutic Radiology Physician
- El Paso, TX
National Provider Identifier
1134127293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- M0104
- Practice address
- 7420 Remcon Cir Ste a
El Paso, TX 79912-3537 - Phone
- (915) 532-8823
- Fax
- (915) 532-5909
- NPI assigned
- Jul 13, 2005
- Reactivated
- Apr 4, 2006
- Last updated
- Jul 3, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | M0104 | TX | Primary |
| Therapeutic Radiology Physician | 2085R0203X | 2002-0159 | NM |
Addresses
Primary practice location
7420 Remcon Cir Ste a
El Paso, TX 79912-3537
Mailing address
7420 Remcon Cir Ste a
El Paso, TX 79912-3537
Phone (915) 532-8823
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10003314 | Other | LOVELACE | |
| 202014819 | Other | PRESBYTERIAN HEALTH PLANS | |
| QMP000003379890 | Other | MOLINA | |
| 201277501 | Medicaid | TX | |
| 2041478 | Other | UHC | |
| 98453271 | Medicaid | NM | |
| NM002L05 | Other | NM | BCBS NM |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Grande Urology PA | Current | Accepting new patients | |
| N Calvin Han PLLC | Past | Accepting new patients | |
| New Mexico Oncology Hematology Consultants, LTD. | Past | Accepting new patients |
Locations
2201 N Stanton St
El Paso, TX 79902
Phone (915) 533-0800
7420 Remcon Cir
El Paso, TX 79912
Phone (915) 532-8823
7420 Remcon Cir
Ste A
El Paso, TX 79912
Phone (915) 225-2023
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- El Paso, TX
- NPI 1750416921
-
- Radiation Oncology Physician
- El Paso, TX
- NPI 1083647986
-
- Hematology & Oncology Physician
- Albuquerque, NM
- NPI 1164475232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1134127293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 REMCON CIR STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799123537",
"telephone_number": "915-532-8823",
"fax_number": "915-532-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7420 REMCON CIR STE A",
"city": "EL PASO",
"state": "TX",
"postal_code": "799123537",
"telephone_number": "915-532-8823",
"fax_number": "915-532-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "NYUN",
"middle_name": "CALVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2013-07-03",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "TX",
"license": "M0104",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NM",
"license": "2002-0159",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "10003314",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLANS",
"identifier": "202014819",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "QMP000003379890",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201277501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2041478",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98453271",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NM",
"identifier": "NM002L05",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.