Active NPI
Anna Ahn, M.D.
- Internal Medicine Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D75970
- Practice address
- Medical Staff Office T9
Stony Brook University Hospital
Stony Brook, NY 11794 - Phone
- (631) 444-2754
- Fax
- (631) 444-6031
- NPI assigned
- May 18, 2010
- Last updated
- Aug 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 249976 | NY | |
| Internal Medicine Physician | 207R00000X | D75970 | MD | Primary |
Addresses
Primary practice location
Medical Staff Office T9
Stony Brook University Hospital
Stony Brook, NY 11794
Mailing address
920 Elkridge Landing Rd
Linthicum, MD 21090-2917
Phone (443) 462-5010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- New York Medical College, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Brown St
Chestertown, MD 21620-1435
219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845
2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 822-1000
500 Cadmus LN
Easton, MD 21601-4094
713 Cambridge Marketplace Blvd
Cambridge, MD 21613-2563
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249976 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Shore Health System, Inc | Current | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
500 Cadmus Ln
Ste 209
Easton, MD 21601
Phone (410) 820-4434
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
920 Elkridge Landing Rd
Linthicum Heights, MD 21090
Interoperability endpoints
- aahn451312@direct.umm.edu
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
dba Um Shore Regional Health Diagnostics and Imaging Center at Cambridge
- Radiology Clinic/Center
- Cambridge, MD
- NPI 1801475637
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Shore Medical Center at Chestertown
- General Acute Care Hospital
- Chestertown, MD
- NPI 1679536809
-
dba UM Shore Medical Center at Dorchester
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
dba UM Shore Medical Center at Easton
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534032000000",
"number": "1700105533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 ELKRIDGE LANDING RD",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902917",
"telephone_number": "443-462-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL STAFF OFFICE T9",
"address_2": "STONY BROOK UNIVERSITY HOSPITAL",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11794",
"telephone_number": "631-444-2754",
"fax_number": "631-444-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2018-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "249976",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D75970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.