Individual provider Active NPI

Rachel N Han, M.D.

  • Pediatrics Physician
  • Swansea, IL
National Provider Identifier
1326467655
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036143762 Issued in IL
Practice address
4969 Benchmark Centre Dr Ste 100
Swansea, IL 62226-8928
Phone
(618) 235-2311
Fax
(618) 589-3332
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036143762 IL Primary

Addresses

Primary practice location

4969 Benchmark Centre Dr Ste 100
Swansea, IL 62226-8928

Mailing address

2166 Madison Ave
Granite City, IL 62040-4700
Phone (618) 219-3318

Other practice location 1

2166 Madison Ave
Granite City, IL 62040-4700
Phone (618) 219-3318

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachel.han.1@9559.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20151231001013 MO Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5496057812

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036143762ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rhan172@yourcarecommunity.org
  • Direct secure messaging: rachel.han.1@9559.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1326467655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404700",
            "telephone_number": "618-219-3318",
            "fax_number": "618-452-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4969 BENCHMARK CENTRE DR STE 100",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268928",
            "telephone_number": "618-235-2311",
            "fax_number": "618-589-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2166 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404700",
            "country_code": "US",
            "telephone_number": "618-219-3318",
            "fax_number": "618-452-3329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "RACHEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036143762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel.han.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2166 Madison Ave",
            "city": "Granite City",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620404700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.