Individual provider Active NPI

Justin Hahn, DO

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1609404458
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H96299 Issued in MD
Practice address
14955 Shady Grove Rd Ste 100
Rockville, MD 20850-8728
Phone
(301) 990-3190
Fax
(410) 367-2021
NPI assigned
Mar 28, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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 6

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins Community Physicians, Inc 764 clinicians
Suburban/NRH Medical Rehabilitation Inc 885 clinicians

Practice addresses (Care Compare)

14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254

14955 Shady Grove Rd
Suite 100
Rockville, MD 20850-8728
Phone (301) 990-3190

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Potomac Home Health Care Home health agency, Bethesda, MD, CCN 217084
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005
  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230912003452 MD Practitioner - Internal Medicine 2769846542 Reassigns benefits to 1 organization
I20230912003659 DC Practitioner - Internal Medicine 2769846542 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

14955 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (301) 990-3190

Interoperability endpoints

  • Direct secure messaging: jhahn1142296@direct.hopkinsmedicine.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X H96299 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

14955 Shady Grove Rd Ste 100
Rockville, MD 20850-8728

Mailing address

14955 Shady Grove Rd Ste 100
Rockville, MD 20850-8728

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2024.

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1609404458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14955 SHADY GROVE RD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14955 SHADY GROVE RD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508728",
            "telephone_number": "301-990-3190",
            "fax_number": "410-367-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "JUSTIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H96299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.