Individual provider Active NPI

Daniel Han, MD

  • Urology Physician
  • Stony Brook, NY
National Provider Identifier
1831138049
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
213812 Issued in NY
Practice address
2500 Nesconset Hwy
Building 21a
Stony Brook, NY 11790-2555
Phone
(631) 751-4000
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 213812 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy
Building 21a
Stony Brook, NY 11790-2555

Mailing address

532 Broadhollow Rd
Suite 142
Melville, NY 11747-3672
Phone (516) 931-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080104000133 NY Practitioner - Urology 9032299904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York Downstate Medical Center, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Professionals PLLCGroup PAC ID 6406868462, 91 clinicians

Practice addresses (Care Compare)

1305 Franklin Ave
Suite 100
Garden City, NY 11530-1630
Phone (516) 746-5550

250 Patchogue Yaphank Rd
Suite 15
East Patchogue, NY 11772-4863
Phone (631) 475-5335

340 Broadhollow Rd
Suite E
Farmingdale, NY 11735-4807
Phone (516) 280-7930

4100 Duff PL
A
Seaford, NY 11783-1324
Phone (516) 520-8080

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC Urology CurrentSince Jan 21, 2008 Accepting new patients
Hudson Valley Lithotripsy Associates, P.C. Urology CurrentSince Aug 1, 2023 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Jan 21, 2008 Accepting new patients
A Kim Medical PC Urology Past Accepting new patients
Integrated Medical Professionals PLLC Past Accepting new patients

Locations

9010 Strada Stell Ct
Ste 103
Naples, FL 34109
Phone (800) 669-7744

480 Hicksville Rd
Bethpage, NY 11714
Phone (516) 796-2222

286 Sills Rd
Ste 6
East Patchogue, NY 11772
Phone (631) 289-5100

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

4100 Duff Pl
Ste A
Seaford, NY 11783
Phone (516) 520-8080

2500 Nesconset Hwy
Bldg 21A
Stony Brook, NY 11790
Phone (631) 751-4000

Interoperability endpoints

  • Direct secure messaging: danielhan@imppllc.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1831138049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BROADHOLLOW RD",
            "address_2": "SUITE 142",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473672",
            "telephone_number": "516-931-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BUILDING 21A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-751-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "213812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.