Individual provider Active NPI

Daniel Han, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1952712812
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022006443 Issued in MO
Practice address
12855 N 40 Dr
Saint Louis, MO 63141-8622
Phone
(314) 432-4415
Fax
(314) 432-1986
NPI assigned
May 14, 2014
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2022006443 MO
Family Medicine Physician 207Q00000X 2022006443 MO Primary
Adult Medicine Physician 207QA0505X 2022006443 MO
General Practice Physician 208D00000X 2022006443 MO

Addresses

Primary practice location

12855 N 40 Dr
Saint Louis, MO 63141-8622

Mailing address

12855 N 40 Dr
Saint Louis, MO 63141-8622
Phone (314) 432-4415

Other practice location 1

409 Lafayette Ctr
Manchester, MO 63011-3943
Phone (636) 707-0764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230117001240 MO Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Internal Medicine 5092932343 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians
Mercy East Ambulatory Services LLCGroup PAC ID 2365739240, 102 clinicians

Practice addresses (Care Compare)

12855 N 40 Dr
Suite 280
Saint Louis, MO 63141-8657
Phone (314) 432-4415

409 Lafayette Ctr
Manchester, MO 63011-3943
Phone (636) 707-0764

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

9338 Olive Blvd
Saint Louis, MO 63132-3273
Phone (314) 993-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022006443MOMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Emergency Medicine CurrentSince Jan 24, 2023 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Nov 12, 2023 Accepting new patients
Sikeston Emergency Group LLC Emergency Medicine CurrentSince Sep 3, 2023 Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Jan 24, 2023 Accepting new patients
Potosi Emergency Group, LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

Interoperability endpoints

  • Direct secure messaging: dhan@mhccaremail.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1952712812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418622",
            "telephone_number": "314-432-4415",
            "fax_number": "314-432-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418622",
            "telephone_number": "314-432-4415",
            "fax_number": "314-432-1986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Lafayette Ctr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "MO",
            "postal_code": "630113943",
            "country_code": "US",
            "telephone_number": "636-707-0764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2022006443",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2022006443",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MO",
            "license": "2022006443",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2022006443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.