Individual provider Active NPI

Peter S Hahn, M.D.

  • Internal Medicine Physician
  • Uncasville, CT
National Provider Identifier
1184690703
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039899 Issued in CT
Practice address
2020 Norwich New London Tpke Ste 12
Uncasville, CT 06382
Phone
(860) 892-8488
Fax
(860) 892-8499
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 039899 CT
Cardiovascular Disease Physician 207RC0000X 039899 CT
Clinical Cardiac Electrophysiology Physician 207RC0001X 039899 CT
Internal Medicine Physician 207R00000X 039899 CT Primary

Addresses

Primary practice location

2020 Norwich New London Tpke Ste 12
Uncasville, CT 06382

Mailing address

2020 Norwich New London Tpke Ste 12
Uncasville, CT 06382-1374
Phone (860) 892-8488

Other practice location 1

2020 Norwich New London Tpke Ste 12
Uncasville, CT 06382
Phone (860) 892-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140617000612 NY Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0840214466 Reassigns benefits to 1 organization
I20190612002936 CT Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0840214466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
JS Weill Medical College, Cornell University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 Norwich New London Tpke
Suite 12
Uncasville, CT 06382-1374
Phone (860) 892-8488

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Services Hospitals, Inc. CurrentSince Jun 11, 2014 Accepting new patients
Advanced Vein Associates PLLC Cardiovascular Disease CurrentSince Mar 1, 2019 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients
United Medical Associates PC Past Accepting new patients
Care Group LLC Internal Medicine Past Accepting new patients
Southern Connecticut Vascular Center, LLC Past Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients
Northeast Medical Group, Inc. Internal Medicine Past Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients

Locations

2020 Norwich New London Tpke
Ste 12
Uncasville, CT 06382
Phone (860) 892-8488

30 Harrison St
Ste 250
Johnson City, NY 13790
Phone (607) 763-6580

44 Pearl St W
Sidney, NY 13838
Phone (607) 563-3512

Organizations & group practices 9

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1184690703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NORWICH NEW LONDON TPKE STE 12",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821374",
            "telephone_number": "860-892-8488",
            "fax_number": "860-892-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NORWICH NEW LONDON TPKE STE 12",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "06382",
            "telephone_number": "860-892-8488",
            "fax_number": "860-892-8499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Norwich New London Tpke Ste 12",
            "address_purpose": "LOCATION",
            "city": "Uncasville",
            "state": "CT",
            "postal_code": "06382",
            "country_code": "US",
            "telephone_number": "860-892-8488",
            "fax_number": "860-892-8499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "PETER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CT",
            "license": "039899",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "039899",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CT",
            "license": "039899",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "039899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.