Han-Soo Bae, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301075954 Issued in MI

Practice address

321 Stewart Rd
Monroe, MI 48162-4393

Phone

(734) 243-5020

Fax

(734) 457-1970

NPI assigned

May 12, 2006

Last updated

Apr 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Otolaryngology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monroe Ear Nose and Throat Associates PCGroup PAC ID 0143112771, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099
• Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Merit-based Incentive Payment System (MIPS)

Final score

94.32 of 100Reported as group

Quality

91.86

Promoting interoperability

96

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drbae@ment.ssdirect.aprima.com

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.

• Monroe Ear, Nose and Throat Associates, P.C.

  • Otolaryngology Physician
  • Monroe, MI
  • NPI 1003091141
  Medicare reassignment Care Compare group NPD
• G Donald Ohmart

  dba Northern Hearing Services

  • Audiologist-Hearing Aid Fitter
  • Alpena, MI
  • NPI 1386952216
  NPD (past)
• Han Soo Bae PLLC

  • Otolaryngology Physician
  • Alpena, MI
  • NPI 1164447975
  NPD (past)
• Ryan Meredith, Au.D., P.C.

  • Audiologist
  • Monroe, MI
  • NPI 1942514310
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Memorial Hospital Corporatio

  dba Promedica Monroe Regional Hospital

  • General Acute Care Hospital
  • Monroe, MI
  • NPI 1811097223
  Care Compare affiliation
• Mercy Memorial Hospital Corporation

  dba Monroe Cancer Center

  • Specialist
  • Monroe, MI
  • NPI 1376997551

  Hospital

  Care Compare affiliation
• The Toledo Hospital

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1407854771
  Care Compare affiliation
• Toledo Hospital

  dba ProMedica Transportation Network

  • Ambulance
  • Toledo, OH
  • NPI 1427147339

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1316998792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 STEWART RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624393",
            "telephone_number": "734-243-5020",
            "fax_number": "734-457-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 STEWART RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624393",
            "telephone_number": "734-243-5020",
            "fax_number": "734-457-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "HAN-SOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301075954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4568755",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PECOS",
            "identifier": "N84640002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0405810152",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbae@MENT.ssdirect.aprima.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "address_1": "321 Stewart Rd",
            "city": "Monroe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481624393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Bacarella, LMSW
• John Charles Bacarella, D.D.S.
• Katherine Bacarella, D.P.T.
• Molly Bachmann, DPT
• Back to Health Chiropractic Clinic PC
• Abbas Bahari, M.D.
• Amanda Baker
• Chelsey Baker Baker
• Lindsay Baker
• Tara Baldwin, CNP

• Otolaryngology Physician in Monroe, MI
• Providers in Monroe, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.