Sun Ho Ahn, MD
Individual provider Active NPI Vascular & Interventional Radiology Physician · Warwick, RI
NPI 1457322299 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1457322299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- 11200 (RI)
- Practice address
- 125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785 - Phone
- (401) 432-2520
- Fax
- (401) 453-8220
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Rhode Island Medical Imaging Inc
Midstate Radiology Associates LLC
Affinity Physicians LLC.
Practice addresses (Care Compare)
1 Kettle Point Ave
East Providence, RI 02914-5375
Phone (401) 626-3900
115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 767-1594
1301 Reservoir Ave
Cranston, RI 02920-6034
Phone (401) 921-9316
1500 Mineral Spring Ave
North Providence, RI 02904-3130
Phone (401) 921-9314
1525 Wampanoag TRL
Suite 101
Riverside, RI 02915-1038
Phone (401) 433-1166
1539 Atwood Ave
Suite LL1
Johnston, RI 02919-3262
Phone (401) 921-9202
200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
250 Toll Gate Rd
Warwick, RI 02886-4411
Phone (401) 921-9315
333 School St
Suite 105
Pawtucket, RI 02860-5335
Phone (401) 728-3040
41 Sanderson Rd
Suite 109
Smithfield, RI 02917-2611
Phone (401) 921-9202
435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700
450 Veterans Memorial Pkwy
BLDG 2
East Providence, RI 02914-5300
Phone (401) 435-3041
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
481 Kingstown Rd
Wakefield, RI 02879-3626
Phone (401) 921-9202
65 Sockanosset Cross Rd
Cranston, RI 02920-5536
Phone (401) 921-9202
Hospital & facility affiliations
- Rhode Island Hospital
- The Miriam Hospital
- Newport Hospital
- Roger Williams Medical Center
- Kent County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.37 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.17 of 100
- Quality
- 82.44
- Improvement activities
- 40
- Cost
- 86.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in RI, CT, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041021000655 | RI | Practitioner - Diagnostic Radiology | 9234126525 | Reassigns benefits to 2 organizations |
| I20200520002765 | CT | Practitioner - Diagnostic Radiology | 9234126525 | Reassigns benefits to 3 organizations |
| I20240827003511 | MA | Practitioner - Interventional Radiology |
9234126525 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11200 | RI | MD | Diagnostic Radiology Physician |
| 1019924 | MA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Current |
Accepting new patients | |
| Affinity Physicians LLC | Current |
Accepting new patients | |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Meriden Imaging Center, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Midstate Radiology Associates, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Diagnostic Imaging Services of CT, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Lifespan Corporation | Current | Accepting new patients |
Locations
680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Perkins Farm Dr
Ste 100
Mystic, CT 06355
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
863 N Main Street Ext
Wallingford, CT 06492
60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
20 Catamore Blvd
East Providence, RI 02914
Phone (401) 432-2520
593 Eddy St
Providence, RI 02903
1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500
125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- sahn16242@brownhealth.medalliesdirect.net
- sunho.ahn@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 1019924 | MA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 11200 | RI | Yes |
| Diagnostic Radiology Physician | 2085R0202X | 11200 | RI |
Addresses
Primary practice location
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Mailing address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2520
Other practice location 1
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
Other practice location 2
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (017) 377-0104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003128320 | Other | CT MED ASSISTANCE | |
| 3707952 | Other | AETNA | |
| 192363405 | Other | CIGNA | |
| P00215986 | Other | RAILROAD MEDICARE | |
| 411197 | Other | BLUE CHIP | |
| 9301225 | Other | PHHCS | |
| 1988 | Other | NHPRI | |
| AA21244 | Other | RIH PILGRIM | |
| SA50936 | Other | RI MEDICAL ASSISTANCE |
Other providers in Warwick, RI
- Dylan S Aguiar
- Sarah Elizabeth Aguiar
- Aguiar'S Counseling Services LLC
- Jennifer Greene Ahlijanian
- Soo in Ahn
- Irmgard M Aidoo
- Jeffrey David Ainley
- Aion Communications LLC
- Airport Taxi Inc
- Ajf at Your Service Inc.
All providers in Warwick, RI · Vascular & Interventional Radiology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.