Active NPI
Hans Sanghoon Mah, MD
- Pediatrics Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 200101086
- Practice address
- 8110 Healthcare Loop
Charlotte, NC 28215 - Phone
- (704) 316-2312
- Fax
- (704) 316-2316
- NPI assigned
- Feb 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 200101086 | NC | Primary |
Addresses
Primary practice location
8110 Healthcare Loop
Charlotte, NC 28215
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840
Other practice location 1
7752 Gateway Ln NW Ste 100
Concord, NC 28027
Phone (704) 316-4950
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800690 | Other | NC | PARTNERS MEDIC ARE CHOICE |
| 1312H | Other | NC | BCBS |
| 562034548 | Other | NC | GROUP TAX ID |
| 1200934 | Other | NC | UNITED HEALTHCARE |
| 249727 | Other | NC | MAMSI |
| B6721 | Other | NC | MEDCOST |
| 2803066 | Other | NC | AETNA |
| 891312H | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hmah528318@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
8110 Healthcare Loop
Charlotte, NC 28215
Phone (704) 316-2312
200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680
5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040
7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- hmah528318@direct.novanthealth.org
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1457327504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8110 HEALTHCARE LOOP",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28215",
"telephone_number": "704-316-2312",
"fax_number": "704-316-2316"
}
],
"practiceLocations": [
{
"address_1": "7752 Gateway Ln NW Ste 100",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "28027",
"country_code": "US",
"telephone_number": "704-316-4950",
"fax_number": "704-316-4951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAH",
"first_name": "HANS",
"middle_name": "SANGHOON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200101086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDIC ARE CHOICE",
"identifier": "800690",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1312H",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID",
"identifier": "562034548",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1200934",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "249727",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "B6721",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2803066",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891312H",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hmah528318@direct.novanthealth.org",
"affiliation": "N",
"address_1": "7752 Gateway Ln NW Ste 100",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "28027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.