Individual provider Active NPI

John L Hahn, MD

  • Obstetrics & Gynecology Physician
  • Petersburg, WV
National Provider Identifier
1831190446
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13988 Issued in WV
Practice address
65 Hospital Dr
Suite 104
Petersburg, WV 26847-9549
Phone
(304) 257-2152
Fax
(304) 257-2928
NPI assigned
Aug 4, 2005
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13988 WV Primary

Addresses

Primary practice location

65 Hospital Dr
Suite 104
Petersburg, WV 26847-9549

Mailing address

PO Box 1019
C/O Grant Memorial Hospital
Petersburg, WV 26847-1019
Phone (304) 257-1026

Other practice location 1

514 New Creek Hwy
Keyser, WV 26726-9526
Phone (304) 257-2152

Other practice location 2

10 Valley St Ste 101
Petersburg, WV 26847-9568
Phone (304) 257-2152

Other identifiers 1

IdentifierTypeStateIssuer
0091234000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20120315000392 WV Practitioner - Obstetrics/Gynecology 9638338379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
JC Edwards School of Medicine, Marshall University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant County Board of HealthGroup PAC ID 8729029988, 2 clinicians

Practice addresses (Care Compare)

10 Valley St
Suite 101
Petersburg, WV 26847-9568
Phone (304) 257-2152

739 N Fork Hwy
Petersburg, WV 26847-5535
Phone (304) 257-4922

PO Box
Suite 608
Petersburg, WV 26847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13988WVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grant County Board of Health CurrentSince Jan 1, 1997 Accepting new patients
John L Hahn MD Inc Obstetrics & Gynecology CurrentSince Jun 1, 2017 Accepting new patients
Grant Memorial Hospital Inc Past Accepting new patients

Locations

514 New Creek Hwy
Keyser, WV 26726
Phone (304) 257-2152

10 Valley St
Ste 101
Petersburg, WV 26847
Phone (304) 257-2152

117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312

739 N Fork Hwy
Petersburg, WV 26847
Phone (304) 257-4922

Interoperability endpoints

  • Direct secure messaging: phys_john_lee_hahn@yourcarecommunity.org

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.

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1831190446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "address_2": "C/O GRANT MEMORIAL HOSPITAL",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471019",
            "telephone_number": "304-257-1026",
            "fax_number": "304-257-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HOSPITAL DR",
            "address_2": "SUITE 104",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479549",
            "telephone_number": "304-257-2152",
            "fax_number": "304-257-2928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 New Creek Hwy",
            "address_purpose": "LOCATION",
            "city": "Keyser",
            "state": "WV",
            "postal_code": "267269526",
            "country_code": "US",
            "telephone_number": "304-257-2152",
            "fax_number": "304-257-9790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Valley St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "WV",
            "postal_code": "268479568",
            "country_code": "US",
            "telephone_number": "304-257-2152",
            "fax_number": "304-257-9790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "13988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091234000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

Verify at the official NPI Registry.