Active NPI
Calvin Han, M.D.
- Hematology & Oncology Physician
- Meadville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD447581
- Practice address
- 16792 Conneaut Lake Rd
Meadville, PA 16335-3748 - Phone
- (814) 373-2335
- NPI assigned
- Jul 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 245030 | NY | |
| Hematology & Oncology Physician | 207RH0003X | MD447581 | PA | Primary |
Addresses
Primary practice location
16792 Conneaut Lake Rd
Meadville, PA 16335-3748
Mailing address
16792 Conneaut Lake Rd
Meadville, PA 16335-3748
Phone (814) 373-2335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1028445930001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Saint Louis University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16792 Conneaut Lake Rd
Meadville, PA 16335-3748
Phone (814) 373-2335
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD447581 | PA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Meadville Medical Center | Past | Accepting new patients |
Locations
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
800 Castleton Ave
Staten Island, NY 10310
Phone (718) 354-3344
1000 South Ave
Ste LL3
Staten Island, NY 10314
Phone (646) 605-8114
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- calvin.han@directaddress.net
- calvin.han.1@19656.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Hematology & Oncology Physician
- Meadville, PA
- NPI 1326139775
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
-
- Critical Access Hospital
- Titusville, PA
- NPI 1891899332
-
- Psychiatric Hospital Unit
- Seneca, PA
- NPI 1013090745
-
- General Acute Care Hospital
- Seneca, PA
- NPI 1619069440
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1376743872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16792 CONNEAUT LAKE RD",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353748",
"telephone_number": "814-373-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16792 CONNEAUT LAKE RD",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353748",
"telephone_number": "814-373-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "CALVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "245030",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD447581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028445930001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.