Individual provider Active NPI

Ben Hyung Han, M.D.

  • Radiation Oncology Physician
  • Lake Worth, FL
National Provider Identifier
1245229350
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME84889 Issued in FL
Practice address
4685 S Congress Ave
Lake Worth, FL 33461-4710
Phone
(561) 964-2662
Fax
(561) 432-5680
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME84889 FL Primary

Addresses

Primary practice location

4685 S Congress Ave
Lake Worth, FL 33461-4710

Mailing address

2234 Colonial Blvd
Attn: Payer Contracting & Relations Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 9

IdentifierTypeStateIssuer
266145400MedicaidFL
10476OtherFLDIMENSION
1242173OtherFLWELLCARE
P01560979OtherFLRR MEDICARE
P998463OtherFLFREEDOM
17106OtherFLBCBS
7600501OtherFLAETNA
288319OtherFLAVMED
P939536OtherFLOPTIMUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040515000006 FL Practitioner - Radiation Oncology 1153311733 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84889FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince Dec 5, 2015 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Dec 5, 2015 Accepting new patients
Genesiscare USA of Florida LLC Radiation Oncology Current Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
Radiation Oncology Specialists of the Palm Beaches, L.L.C. Past Accepting new patients

Locations

2301 W Woolbright Rd
Boynton Beach, FL 33426
Phone (561) 737-2339

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

2160 Colonial Blvd
Fort Myers, FL 33907

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

3355 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 775-7075

4685 S Congress Ave
Palm Springs, FL 33461
Phone (561) 548-2662

2111 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 223-9130

3343 S State Road 7
Wellington, FL 33449
Phone (561) 795-8945

10141 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 439-1500

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1245229350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "ATTN: PAYER CONTRACTING & RELATIONS DEPT.",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 S CONGRESS AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614710",
            "telephone_number": "561-964-2662",
            "fax_number": "561-432-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "BEN",
        "middle_name": "HYUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME84889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266145400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIMENSION",
            "identifier": "10476",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1242173",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01560979",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM",
            "identifier": "P998463",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17106",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7600501",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "288319",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P939536",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.