James Hahn, M.D.
Individual provider Active NPI Pediatrics Physician · Greendale, IN
NPI 1982993697 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1982993697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 01075376A (IN)
- Practice address
- 1640 Flossie Dr
Greendale, IN 47025-8424 - Phone
- (877) 670-7264
- Fax
- (812) 539-1824
- NPI assigned
- Apr 4, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, KY
- 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 |
|---|---|---|---|---|
| I20150724011674 | IN | Practitioner - Pediatric Medicine | 1658684295 | Reassigns benefits to 1 organization |
| I20170607001718 | KY | Practitioner - Pediatric Medicine |
1658684295 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47135 | KY | MD | Pediatrics Physician |
| 35.123938 | OH | MD | Pediatrics Physician |
| 57696-20 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Current | Accepting new patients |
Locations
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
2300 Chamber Center Dr
Ste 200
Lakeside Park, KY 41017
Phone (859) 212-0039
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- jhahn183388@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 47135 | KY | |
| Pediatrics Physician | 208000000X | 57696-20 | WI | |
| Pediatrics Physician | 208000000X | 35.123938 | OH | |
| Pediatric Sports Medicine Physician | 2080S0010X | 47135 | KY | |
| Pediatrics Physician | 208000000X | 01075376A | IN | Yes |
Addresses
Primary practice location
1640 Flossie Dr
Greendale, IN 47025-8424
Mailing address
204 Bridgeway St
Aurora, IN 47001-1334
Phone (812) 926-3133
Other providers in Greendale, IN
- Aleah Pendergraff Gibson
- Kylie Goodall
- Greendale Emergency Rescue, Inc.
- Eugene Groysman
- Brenda Gullion
- Kayla Mae Hayes
- Katrina Hegde
- Jalean Louise Heikenfeld
- Patrick Herron
- Vickie Hitchcock
All providers in Greendale, IN · Pediatrics Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2025. 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.