NPIMap

Individual provider Active NPI

Julia Han

  • Urology Physician
  • Gainesville, FL
National Provider Identifier
1164849303
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME138863 Issued in FL
Practice address
1600 SW Archer Rd RM N-203
Gainesville, FL 32610-0247
Phone
(352) 273-8634
Fax
(352) 273-0247
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X ME138863 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd RM N-203
Gainesville, FL 32610-0247

Mailing address

1600 SW Archer Rd RM N-203
P.O. Box 100247
Gainesville, FL 32610-0247
Phone (352) 273-8634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191223000694 FL Practitioner - Urology 3173741279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Florida College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14540 Old Saint Augustine Rd
Suite 2401
Jacksonville, FL 32258-7418
Phone (904) 880-4054

710 Lomax St
Suite 1
Jacksonville, FL 32204-4004
Phone (904) 483-2310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME138863FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Physician Specialists LLC CurrentSince Aug 1, 2019 Accepting new patients
Florida Physician Specialists LLC Current Accepting new patients
McIver Urological Clinic Urology Current Accepting new patients
Florida Physician Specialists LLC Urology CurrentSince Aug 1, 2019 Accepting new patients
Florida Physician Specialists LLC Urology Past Accepting new patients

Locations

710 Lomax St
Ste L
Jacksonville, FL 32204

710 Lomax St
Jacksonville, FL 32204
Phone (904) 355-6584

14540 Old St Augustine Rd
Ste 2401
Jacksonville, FL 32258
Phone (904) 880-4054

1577 Roberts Dr
Ste 326
Jacksonville Beach, FL 32250
Phone (904) 270-2706

Interoperability endpoints

  • Direct secure messaging: juliahan@miuc.allscriptsdirect.net

Organizations & group practices 5

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.

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1164849303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD RM N-203",
            "address_2": "P.O. BOX 100247",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100247",
            "telephone_number": "352-273-8634",
            "fax_number": "352-273-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD RM N-203",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100247",
            "telephone_number": "352-273-8634",
            "fax_number": "352-273-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME138863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.