Individual provider Active NPI

Jesse Coshatt Hahn, M.D.

  • Orthopaedic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1881865459
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
131149 Issued in CA
Practice address
2550 23Rd St
Building 9, 2ND Floor
San Francisco, CA 94110-3504
Phone
(415) 206-8812
NPI assigned
Mar 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 042-0012721 VT
Orthopaedic Surgery Physician 207X00000X 304506 NY
Orthopaedic Surgery Physician 207X00000X 131149 CA Primary

Addresses

Primary practice location

2550 23Rd St
Building 9, 2ND Floor
San Francisco, CA 94110-3504

Mailing address

2550 23Rd St
Building 9, 2ND Floor
San Francisco, CA 94110-3504

Other practice location 1

206 Cornelia St Ste 102
Plattsburgh, NY 12901-2779
Phone (518) 314-3560

Other practice location 2

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-2000

Other practice location 3

192 Tilley Dr
South Burlington, VT 05403-4440
Phone (802) 847-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130916000555 VT Practitioner - Orthopedic Surgery 5890939714 Reassigns benefits to 1 organization
I20200824002860 NY Practitioner - Orthopedic Surgery 5890939714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Vermont College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Vermont Medical Center IncGroup PAC ID 3779491071, 1,208 clinicians
Champlain Valley Physicians Hospital Medical CenterGroup PAC ID 2769396878, 356 clinicians

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

206 Cornelia St
Suite 102
Plattsburgh, NY 12901-2779
Phone (518) 314-3344

Hospital & facility affiliations

  • Uvmhn Home Health and Hospice Home health agency, Colchester, VT, CCN 477000
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001
  • Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131149CAMDOrthopaedic Surgery Physician
304506NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Jun 19, 2020 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Jun 19, 2020 Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients

Locations

206 Cornelia St
Ste 102
Plattsburgh, NY 12901
Phone (518) 314-3344

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

192 Tilley Dr
South Burlington, VT 05403
Phone (802) 847-2663

Interoperability endpoints

  • Direct secure messaging: jhahn9119@direct.uvmhealth.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 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": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1881865459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 23RD ST",
            "address_2": "BUILDING 9, 2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 23RD ST",
            "address_2": "BUILDING 9, 2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103504",
            "telephone_number": "415-206-8812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Cornelia St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129012779",
            "country_code": "US",
            "telephone_number": "518-314-3560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Beekman St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011438",
            "country_code": "US",
            "telephone_number": "518-562-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "192 Tilley Dr",
            "address_purpose": "LOCATION",
            "city": "South Burlington",
            "state": "VT",
            "postal_code": "054034440",
            "country_code": "US",
            "telephone_number": "802-847-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "JESSE",
        "middle_name": "COSHATT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-21",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VT",
            "license": "042-0012721",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "304506",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "131149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.