NPIMap

Individual provider Active NPI

Daniel Kyung Han, M.D.

  • Vascular Surgery Physician
  • New York, NY
National Provider Identifier
1831480995
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
269431 Issued in NY
Practice address
1190 5TH Ave
GP1, 1St Floor
New York, NY 10029
Phone
(212) 241-2758
Fax
(212) 987-9310
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X 269431 NY Primary

Addresses

Primary practice location

1190 5TH Ave
GP1, 1St Floor
New York, NY 10029

Mailing address

1425 Madison Avenue
Box 1273
New York, NY 10029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520000923 NY Practitioner - Vascular Surgery 5193014751 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Icahn School of Medicine at Mount Sinai, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, shared by 32 NPIs, 2,809 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 731-7822

5 E 98TH St
Surgery Dept
New York, NY 10029-6501
Phone (212) 241-6591

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169
  • Mount Sinai West Hospital, New York, NY, CCN 330046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal13
Leg revascularization (restoring blood flow)27
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269431NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Jul 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Vascular Surgery CurrentSince Feb 25, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 25, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 25, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2016 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Mount Sinai Hospital Past Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

1190 5th Ave
#1
New York, NY 10029
Phone (212) 241-4971

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

1190 5th Ave
Fl 1
New York, NY 10029

1425 Madison Ave
#1273
New York, NY 10029
Phone (650) 580-3624

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 11

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 12

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1831480995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MADISON AVENUE",
            "address_2": "BOX 1273",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 5TH AVE",
            "address_2": "GP1, 1ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-2758",
            "fax_number": "212-987-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "DANIEL",
        "middle_name": "KYUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "269431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.