Individual provider Active NPI

Tara Lynn Hahn, M.D.

  • Colon & Rectal Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1417939018
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
M0423 Issued in TX
Practice address
613 Elizabeth St Ste 809
Corpus Christi, TX 78404-2232
Phone
(361) 883-3831
Fax
(361) 887-0146
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X M0423 TX Primary

Addresses

Primary practice location

613 Elizabeth St Ste 809
Corpus Christi, TX 78404-2232

Mailing address

613 Elizabeth St Ste 809
Corpus Christi, TX 78404-2232
Phone (361) 883-3831

Other practice location 1

613 Elizabeth St Ste 502
Corpus Christi, TX 78404-2224
Phone (361) 883-3831

Other identifiers 1

IdentifierTypeStateIssuer
172277901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050324000978 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - General Practice 1052395316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Practice
Education
Indiana Medical College, School of Medicine of Purdue University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

613 Elizabeth St
Suite 411
Corpus Christi, TX 78404-2223
Phone (361) 888-5524

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
94.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Oct 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 1, 2024 Accepting new patients
Colorectal Surgery Associates P C Colon & Rectal Surgery Past Accepting new patients

Locations

613 Elizabeth St
Ste 502
Corpus Christi, TX 78404
Phone (361) 861-1890

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: thahn@colonrectalassociatessouthtexas.mdlogic.direct-ci.com
  • Direct secure messaging: thahn342681@christushealth.direct-ci.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1417939018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST STE 809",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042232",
            "telephone_number": "361-883-3831",
            "fax_number": "361-887-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST STE 809",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042232",
            "telephone_number": "361-883-3831",
            "fax_number": "361-887-0146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Elizabeth St Ste 502",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042224",
            "country_code": "US",
            "telephone_number": "361-883-3831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "M0423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172277901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.