Individual provider Active NPI

James H Hahn, MD

  • Internal Medicine Physician
  • Davenport, IA
National Provider Identifier
1902801525
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23423 Issued in IA
Practice address
1228 E Rusholme St
Suite 112
Davenport, IA 52803-2467
Phone
(563) 421-3122
Fax
(563) 421-3129
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23423 IA Primary

Addresses

Primary practice location

1228 E Rusholme St
Suite 112
Davenport, IA 52803-2467

Mailing address

1228 E Rusholme St
Suite 112
Davenport, IA 52803-2467
Phone (563) 421-3122

Other identifiers 6

IdentifierTypeStateIssuer
15409OtherIAIOWA MIDLANDS CHOICE
IL 1240003OtherILILLINOIS MEDICARE PROVIDER NUMBER
P00287447OtherIAMEDICARE RAILROAD
8201954MedicaidIA
39981OtherIAWELMARK BCBS
9201954MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20040830000410 IA Practitioner - Internal Medicine 6608841085 Reassigns benefits to 1 organization
I20090409000647 IL Practitioner - Internal Medicine 6608841085 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23423IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Genesis Health System Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Genesis Health System Internal Medicine Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1228 E Rusholme St
Ste 112
Davenport, IA 52803
Phone (563) 421-3122

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1230 E Rusholme St
#211
Davenport, IA 52803
Phone (563) 322-9150

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: james.hahn@direct.genesishealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1902801525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 E RUSHOLME ST",
            "address_2": "SUITE 112",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032467",
            "telephone_number": "563-421-3122",
            "fax_number": "563-421-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 E RUSHOLME ST",
            "address_2": "SUITE 112",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032467",
            "telephone_number": "563-421-3122",
            "fax_number": "563-421-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "JAMES",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "23423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA MIDLANDS CHOICE",
            "identifier": "15409",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS MEDICARE PROVIDER NUMBER",
            "identifier": "IL 1240003",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00287447",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8201954",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELMARK BCBS",
            "identifier": "39981",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201954",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.