Kenneth A Hahn, MD

Key facts

NPI

1992716732

Entity type

Individual (NPI type 1)

Primary specialty

Cardiovascular Disease Physician 207RC0000X

License

14817 (MS)

Practice address

1306 Hospital St
Greenville, MS 38703-3215

Phone

(662) 334-9712

Fax

(662) 332-9703

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 4

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

• Delta Medical Group Emergency Medicine Physician · Greenville, MS · NPI 1790701134
  Medicare reassignment Care Compare group NPD MS
• Delta Health System Internal Medicine Physician · Clarksdale, MS · NPI 1609464619
  NPD
• Cardiovascular Physicians PA Cardiovascular Disease Physician · Greenville, MS · NPI 1962695569
  NPD (past) CARDIOVASCULAR DISEASE
• Delta Physician Practices Family Nurse Practitioner · Greenville, MS · NPI 1598086639
  NPD (past)

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Delta Health System Oncology Clinic/Center · Greenville, MS · NPI 1184232498
  Care Compare affiliation Hospital
• Delta Health System Rural Acute Care Hospital · Greenville, MS · NPI 1306921887
  Care Compare affiliation Hospital
• Delta Health System Oncology Clinic/Center · Clarksdale, MS · NPI 1578171872
  Care Compare affiliation Hospital
• Delta Health System Oncology Clinic/Center · Cleveland, MS · NPI 1972112183
  Care Compare affiliation Hospital
• PHC-Cleveland LLC General Acute Care Hospital · Cleveland, MS · NPI 1457321036
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Cardiovascular Disease (Cardiology)

Education

R Franklin University of Med & Sci/Chicago Medical School, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Medical Group (48 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delta Health System - the Medical Center Hospital · Greenville, MS · CCN 250082
• Bolivar Medical Center Hospital · Cleveland, MS · CCN 250093

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100 (group)

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 21, 2008.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1992716732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23998",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253998",
            "telephone_number": "662-725-2749",
            "fax_number": "662-725-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 HOSPITAL ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033215",
            "telephone_number": "662-334-9712",
            "fax_number": "662-332-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "14817",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MS",
            "license": "14817",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00314972",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1597325",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117699",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159492001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Greenville, MS · Cardiovascular Disease Physician in Mississippi