NPIMap

Individual provider Active NPI

Tyler Hahn

  • Physician Assistant
  • Monroe, NC
National Provider Identifier
1609311471
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001006996 Issued in NC
Practice address
1328 Patterson St
Monroe, NC 28112-4348
Phone
(704) 993-2107
Fax
(704) 993-2115
NPI assigned
Jan 3, 2017
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001006996 NC Primary

Addresses

Primary practice location

1328 Patterson St
Monroe, NC 28112-4348

Mailing address

1328 Patterson St
Monroe, NC 28112-4348
Phone (704) 993-2107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170328001947 NC Practitioner - Physician Assistant 4688959919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists of the Carolinas PLLCGroup PAC ID 0648178020, 78 clinicians

Practice addresses (Care Compare)

1100 Healing Way
Suite 12
Matthews, NC 28104-5181
Phone (704) 993-2107

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001006996NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialists of the Carolinas CurrentSince May 26, 2024 Accepting new patients

Locations

1100 Healing Way
Ste 12
Matthews, NC 28104
Phone (704) 993-2107

Interoperability endpoints

  • Direct secure messaging: thahn@urologyspecialistsnc.emadirect.md
  • Direct secure messaging: thahn540527@direct.novanthealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1609311471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 PATTERSON ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124348",
            "telephone_number": "704-993-2107",
            "fax_number": "704-993-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 PATTERSON ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124348",
            "telephone_number": "704-993-2107",
            "fax_number": "704-993-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001006996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.