Individual provider Active NPI

Maohao Han, MD

  • Surgery Physician
  • Leesburg, FL
National Provider Identifier
1467480145
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME94864 Issued in FL
Practice address
8110 County Road 44 Leg a
Leesburg, FL 34788-3704
Phone
(352) 323-8868
Fax
(352) 323-8865
NPI assigned
Jun 29, 2006
Last updated
Jun 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME94864 FL Primary

Addresses

Primary practice location

8110 County Road 44 Leg a
Leesburg, FL 34788-3704

Mailing address

8110 County Road 44 Leg a
Leesburg, FL 34788-3704
Phone (352) 323-8868

Other identifiers 3

IdentifierTypeStateIssuer
P00380949OtherRAILROAD MEDICARE
275745100MedicaidFL
52939OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060727000041 FL Practitioner - General SurgeryPractitioner - Thoracic Surgery 9830102417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13838 N US Hwy 441
Endosurg Outpatient Ctr
Lady Lake, FL 32159-8904
Phone (352) 753-1612

8110 County Rd
Leesburg, FL 34788-3704
Phone (352) 323-8868

8110 CR
44 Leg a
Leesburg, FL 34788-3704

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
68.91
Promoting interoperability
96
Improvement activities
40
Cost
76.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy40
Hernia repair - groin (open)18
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Surgery & Endoscopy Center LTD Current Accepting new patients

Locations

8100 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-1995

8110 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-8868

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: maohao.han.1@3063.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1467480145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 COUNTY ROAD 44 LEG A",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883704",
            "telephone_number": "352-323-8868",
            "fax_number": "352-323-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 COUNTY ROAD 44 LEG A",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883704",
            "telephone_number": "352-323-8868",
            "fax_number": "352-323-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "MAOHAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME94864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00380949",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275745100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52939",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.