Anna Ahn, M.D.
Individual provider Active NPI Internal Medicine Physician · Stony Brook, NY
NPI 1700105533 · NPPES record last updated Aug 12, 2018
Key facts
- NPI
- 1700105533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D75970 (MD)
- 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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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
- University of Maryland Community Medical Group Inc
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
- University of MD Shore Medical Center at Easton
- University of MD Shore Medical Ctr at Chestertown
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130925000141 | MD | Practitioner - Pulmonary Disease |
7012151467 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
500 Cadmus Ln
Ste 209
Easton, MD 21601
Phone (410) 820-4434
219 S Washington St
Easton, MD 21601
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 249976 | NY | |
| Internal Medicine Physician | 207R00000X | D75970 | MD | Yes |
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
Other providers in Stony Brook, NY
- Mohsen Ahmed
- Saghir Ahmed
- Sharnam Ahmed
- Sunjida Ahmed
- Tahmeena Ahmed
- Christine Sunjung Ahn
- Jane Yonjoo Ahn
- Jongkoo Ahn
- Julia Sungeun Ahn
- Nicholas Junhyuk Ahn
All providers in Stony Brook, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.