Joshua Sang Han, CRNP-F

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R148127 Issued in MD

Practice address

1600 Crain Hwy S
Suite 310
Glen Burnie, MD 21061-5577

Phone

(410) 787-8315

Fax

(410) 787-8316

NPI assigned

Aug 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Joshua Sang Ho Han Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Center for Pain Management, LLCGroup PAC ID 0547246555, 38 clinicians

Matclinic Physicians Practice Group LLCGroup PAC ID 3274804349, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Center for Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Hagerstown, MD
  • NPI 1962463265
  Medicare reassignment Care Compare group NPD
• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Dundalk, MD
  • NPI 1104375294
  Medicare reassignment Care Compare group NPD
• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Laurel, MD
  • NPI 1194217091

  DC

  Medicare reassignment NPD
• Matclinic Physicians Practice Group LLC

  • Addiction (Substance Use Disorder) Counselor
  • Dundalk, MD
  • NPI 1801448360
  NPD
• Center for Pain Management, LLC

  • Pain Clinic/Center
  • Rockville, MD
  • NPI 1386885119
  NPD (past)
• Corelife Health Services, Inc.

  • Family Medicine Physician
  • Severna Park, MD
  • NPI 1518339209
  NPD (past)

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

{
    "created_epoch": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1154514859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "410-787-8315",
            "fax_number": "410-787-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 310",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-787-8315",
            "fax_number": "410-787-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JOSHUA",
        "middle_name": "SANG",
        "name_prefix": "Mr.",
        "credential": "CRNP-F",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-25",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R148127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhan@treatingpain.emadirect.md",
            "affiliation": "N",
            "address_1": "1600 Crain Hwy S",
            "address_2": "Suite 310",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210615577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "HAN",
            "middle_name": "SANG HO",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ronald Van Hamilton, CNA/CMT
• Tarche Chanor Hamlett
• Rachel Hammer, PA-C
• Rasha Salah Hamouda, MD
• Emily Dasol Han, RDH
• Nashae Handy, CRNP
• Amatul-Akhir Haneef, MD
• Elizabeth Susan Hansen, LCPC
• Bradley Hanson, PTA
• Mahmudul Haque, M.D.

• Family Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.