Individual provider Active NPI

Deborah Ann Hahn, D.O.

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1629075932
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3861 Issued in AZ
Practice address
6320 W Union Hills Dr Ste 2800B
Glendale, AZ 85308-1380
Phone
(623) 322-4991
Fax
(623) 322-9568
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3861 AZ Primary

Addresses

Primary practice location

6320 W Union Hills Dr Ste 2800B
Glendale, AZ 85308-1380

Mailing address

6320 W Union Hills Dr Ste 2800B
Glendale, AZ 85308-1380
Phone (623) 322-4991

Other practice location 1

18699 N 67th Ave
Suite 280
Glendale, AZ 85308-7140
Phone (623) 322-4991

Other identifiers 11

IdentifierTypeStateIssuer
5469475OtherAZCCN
55Y6ZJOtherAZUHC
783747MedicaidAZ
PROV000061233OtherAZSCHALLER ANDERSON
7188444OtherAZAETNA
81060639685308A003OtherAZCHAMPUS
895157OtherAZUSA
2Z0277OtherAZHEALTH NET
2103587OtherAZFIRST HEALTH
81060639602OtherAZPACIFICARE
AZ0733960OtherAZBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050404000943 AZ Practitioner - Family Practice 3072503622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Valley Family Medicine PCGroup PAC ID 2668462201, 2 clinicians

Practice addresses (Care Compare)

6320 W Union Hills Dr
Suite 2800B
Glendale, AZ 85308-1380
Phone (623) 322-4991

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3861AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Family Medicine PC Family Medicine CurrentSince Aug 1, 2003 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

6320 W Union Hills Dr
Ste 2800B
Glendale, AZ 85308
Phone (623) 322-4991

18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: deborah.hahn.p1@direct.nvfm.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1629075932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 2800B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081380",
            "telephone_number": "623-322-4991",
            "fax_number": "623-322-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 2800B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081380",
            "telephone_number": "623-322-4991",
            "fax_number": "623-322-9568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18699 N 67th Ave",
            "address_2": "Suite 280",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853087140",
            "country_code": "US",
            "telephone_number": "623-322-4991",
            "fax_number": "623-322-9568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5469475",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "55Y6ZJ",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "783747",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHALLER ANDERSON",
            "identifier": "PROV000061233",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7188444",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "81060639685308A003",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA",
            "identifier": "895157",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z0277",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2103587",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "81060639602",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AZ0733960",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.