Shenggao Han, M.D., LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHENGGAO HAN, M.D., LLC

Practice address

625 Rustic Lodge Rd Ste B
Indiana, PA 15701-3403

Phone

(724) 463-3720

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Shenggao HanNPI 1679558746

Title

MD

Phone

(724) 463-3720

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shenggao Han, MD

  • Internal Medicine Physician
  • Indiana, PA
  • NPI 1679558746
  Medicare reassignment Care Compare group NPD Authorized official
• Xianwen Qiao, CRNP

  • Adult Health Nurse Practitioner
  • Indiana, PA
  • NPI 1285972885
  Medicare reassignment Care Compare group NPD
• Breanna Sirko, CRNP

  • Family Nurse Practitioner
  • Indiana, PA
  • NPI 1487492641
  Medicare reassignment Care Compare group NPD
• Robert Paul Snyder, D.O.

  • Internal Medicine Physician
  • Indiana, PA
  • NPI 1932598414
  Medicare reassignment Care Compare group NPD
• Megan R Shugarts, PA-C

  • Physician Assistant
  • Indiana, PA
  • NPI 1831682350
  Medicare reassignment Care Compare group
• John Clair

  • Medical Physician Assistant
  • Indiana, PA
  • NPI 1871997155
  Medicare reassignment
• Sarah Fennel

  • Medical Physician Assistant
  • North Huntingdon, PA
  • NPI 1699146613
  Medicare reassignment
• Laken Bungo

  • Nurse Practitioner
  • Indiana, PA
  • NPI 1255171112
  NPD

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1902843170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 RUSTIC LODGE RD STE B",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013403",
            "telephone_number": "724-463-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 RUSTIC LODGE RD STE B",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013403",
            "telephone_number": "724-463-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENGGAO HAN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "SHENGGAO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "724-463-3720"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010368600001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1532898",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Marie Shearer, ME.D.
• Ryan Shellenbarger, PTA
• James Shellhammer
• Shenggao Han MD LLC
• Shenggao Han MD LLC
• Darlene Marie Shephard, OTR/L,CLT
• Kelli Sheriff, BA
• Emily Rose Sherry, PA
• Jagadeesha N Shetty, M.D.
• Samantha Paige Shilling, BS

• Internal Medicine Physician in Indiana, PA
• Providers in Indiana, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.