Individual provider Active NPI

Kyung Heup Ahn, M.D.

  • Psychiatry Physician
  • New Haven, CT
National Provider Identifier
1750565016
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
045620 Issued in CT
Practice address
184 Liberty St
Yale Psychiatric Hospital
New Haven, CT 06519-1625
Phone
(203) 688-9907
NPI assigned
Dec 21, 2007
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 045620 CT Primary
General Practice Physician 208D00000X 045620 CT

Addresses

Primary practice location

184 Liberty St
Yale Psychiatric Hospital
New Haven, CT 06519-1625

Mailing address

107 John St
Suite 3a
Southport, CT 06890-1466
Phone (203) 429-4392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20101202000795 CT Practitioner - Psychiatry 2668668658 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians
Greenwich HospitalGroup PAC ID 3678476710, 78 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3000

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
86.81
Promoting interoperability
100
Improvement activities
40
Cost
77.34

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045620CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Hospital CurrentSince Jan 18, 2021 Accepting new patients
Yale University Psychiatry CurrentSince Sep 2, 2010 Accepting new patients
State of Connecticut CurrentSince Apr 30, 2020 Accepting new patients
Yale New Haven Hospital CurrentSince Oct 31, 2010 Accepting new patients
Yale University CurrentSince Sep 2, 2010 Accepting new patients
Greenwich Hospital CurrentSince Jan 18, 2021 Accepting new patients
State of Connecticut CurrentSince Apr 30, 2020 Accepting new patients
State of Connecticut Past Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

165 Capitol Ave
Ste 2000
Hartford, CT 06106

184 Liberty St
New Haven, CT 06519
Phone (203) 688-9704

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

34 Park St
North Haven, CT 06519
Phone (203) 974-7417

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

Interoperability endpoints

  • Direct secure messaging: kahn8933@direct.ynhh.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1750565016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JOHN ST",
            "address_2": "SUITE 3A",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901466",
            "telephone_number": "203-429-4392",
            "fax_number": "844-704-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 LIBERTY ST",
            "address_2": "YALE PSYCHIATRIC HOSPITAL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191625",
            "telephone_number": "203-688-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "KYUNG HEUP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "045620",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "045620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.