Individual provider Active NPI

Nyun Calvin Han, M.D.

  • Therapeutic Radiology Physician
  • El Paso, TX
National Provider Identifier
1134127293
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
M0104 Issued in TX
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10003314OtherLOVELACE
202014819OtherPRESBYTERIAN HEALTH PLANS
QMP000003379890OtherMOLINA
201277501MedicaidTX
2041478OtherUHC
98453271MedicaidNM
NM002L05OtherNMBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000118 TX Practitioner - Radiation OncologyPractitioner - Medical Oncology 3173425352 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Urology PA CurrentSince May 1, 2008 Accepting new patients
N Calvin Han PLLC PastSince Jan 10, 2005 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.

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

Verify at the official NPI Registry.