Individual provider Active NPI

Michael Peter Han

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1184422735
Registry record updated Mar 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
710 S Claremont Ave
Chicago, IL 60612-3517
Phone
(562) 706-3457
NPI assigned
Mar 7, 2025
Last updated
Mar 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IL Primary

Addresses

Primary practice location

710 S Claremont Ave
Chicago, IL 60612-3517

Mailing address

710 S Claremont Ave
Chicago, IL 60612-3517
Phone (562) 706-3457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260604000787 IL Practitioner - Physician Assistant 1557832110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noel Castelino SCGroup PAC ID 0143287748, 3 clinicians

Practice addresses (Care Compare)

6352 N Lincoln Ave
Chicago, IL 60659-1213
Phone (872) 208-3095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1184422735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S CLAREMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123517",
            "telephone_number": "562-706-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S CLAREMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123517",
            "telephone_number": "562-706-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.