Active NPI
Hyo Seung Ahn, M.D.
- Diagnostic Radiology Physician
- Owings Mills, MD
National Provider Identifier
1730152380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D0025839
- Practice address
- 21 Crossroads Dr
Ste 100
Owings Mills, MD 21117-5441 - Phone
- (410) 356-8186
- Fax
- (410) 356-4180
- NPI assigned
- Feb 13, 2006
- Last updated
- Jul 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | D0025839 | MD | |
| Neuroradiology Physician | 2085N0700X | MD044797 | DC | |
| Diagnostic Radiology Physician | 2085R0202X | MD044797 | DC | |
| Diagnostic Radiology Physician | 2085R0202X | D0025839 | MD | Primary |
Addresses
Primary practice location
21 Crossroads Dr
Ste 100
Owings Mills, MD 21117-5441
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 955-2353
Other practice location 2
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4791
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3172521900 | Medicaid | MD | |
| J062 | Other | MD | B/C B/S |
| 2849 | Other | DC | B/C B/S |
| KA80 | Other | MD | B/C B/S |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044797 | DC | MD | Diagnostic Radiology Physician |
Interoperability endpoints
- hahn50649@direct.hopkinsmedicine.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1730152380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CROSSROADS DR",
"address_2": "STE 100",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175441",
"telephone_number": "410-356-8186",
"fax_number": "410-356-4180"
}
],
"practiceLocations": [
{
"address_1": "4940 Eastern Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212242735",
"country_code": "US",
"telephone_number": "410-955-2353",
"fax_number": "410-614-1213",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5255 Loughboro Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200162633",
"country_code": "US",
"telephone_number": "202-537-4791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHN",
"first_name": "HYO",
"middle_name": "SEUNG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MD",
"license": "D0025839",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "DC",
"license": "MD044797",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "DC",
"license": "MD044797",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0025839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3172521900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C B/S",
"identifier": "J062",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C B/S",
"identifier": "2849",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C B/S",
"identifier": "KA80",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.