Angela Han, D.O
Individual provider Active NPI Internal Medicine Physician · Philadelphia, PA
NPI 1982139796 · NPPES record last updated Mar 30, 2021
Key facts
- NPI
- 1982139796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- OS020714 (PA)
- Practice address
- 2601 Holme Ave
Philadelphia, PA 19152-2007 - Phone
- (215) 335-6000
- NPI assigned
- Apr 29, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Main Line Healthcare
Practice addresses (Care Compare)
100 E Lancaster Ave
Wynewood, PA 19096-3450
Phone (484) 476-8150
Hospital & facility affiliations
- Bryn Mawr Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200917002187 | PA | Practitioner - Internal Medicine | 6103244439 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS020714 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Internal Medicine | Current |
Accepting new patients |
| Main Line Hospitals, Inc. | Past | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS020714 | PA | Yes |
Addresses
Primary practice location
2601 Holme Ave
Philadelphia, PA 19152-2007
Mailing address
2601 Holme Ave
Pennsylvania, PA 19152
Other providers in Philadelphia, PA
- Lyla Hampton
- Stephen Eric Hampton
- Tracy Michele Hampton
- Seyed Mehrdad Hamrahian
- Hajaru Hamza
- Chihun Jim Han
- Dao-Yu David Han
- Hae Sook Han
- Hayden Shin Han
- In Sub Han
All providers in Philadelphia, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.