Active NPI
Daniel Han, M.D.
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2022006443
- 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, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2022006443 | MO | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Sikeston Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Potosi Emergency Group, LLC | Emergency Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Family Medicine
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Emergency Medicine Physician
- Potosi, MO
- NPI 1881075349
-
- Emergency Medicine Physician
- Sikeston, MO
- NPI 1427575299
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1043574940
Emergency Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.