Active NPI
James H Hahn, MD
- Internal Medicine Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23423
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15409 | Other | IA | IOWA MIDLANDS CHOICE |
| IL 1240003 | Other | IL | ILLINOIS MEDICARE PROVIDER NUMBER |
| P00287447 | Other | IA | MEDICARE RAILROAD |
| 8201954 | Medicaid | IA | |
| 39981 | Other | IA | WELMARK BCBS |
| 9201954 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23423 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Internal Medicine | Current | 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
- 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.
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.