KYOUNG MIN HAN (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1083954671

KYOUNG MIN HAN (D.P.M.) is a healthcare provider. based in San diego, California. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. E5043 (CA). The NPI Number for KYOUNG MIN HAN (D.P.M.) is 1083954671

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
KYOUNG MIN HAN (D.P.M.)
NPI
1083954671
Phone
(619) 295-9494
Address
3363 4TH AVE
Enumeration Date
19 February 2013
Last Update Date
23 July 2021

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8584851494
Graduation Year
2010 (16 years ago)
PAC ID
1254574395
Group Practice PAC ID
5890052310
Professional Enrollment ID
I20130821000596
Address ID
CA920254304ES215XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,838 PODIATRY in CA

Provider Addresses for KYOUNG MIN HAN (D.P.M.)

  • 3363 4TH AVE

    STE 304

    SAN DIEGO, CA 921035703

    Phone: (619) 295-9494

    Type: Mailing

  • 15706 POMERADO RD STE 102

    POWAY, CA 920642032

    Phone: (858) 485-1494

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Nevro Corp. ($41).

Total Amount

$142

General + Research + Ownership

Payments

7

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-08-21

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130821000596IPodiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes511197$0
11721Removal of fingernails or toenails, 6 or more nails337158$0
11056Removal of noncancer thickened skin growth, 2-4 growths18683$0
99203New patient office or other outpatient visit, 30-44 minutes112112$0
11055Removal of noncancer thickened skin growth, 1 growth5228$0
View full utilization report →

Insurance plans in this area (ZIP 92103)

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Provider's Procedures

KYOUNG MIN HAN (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYCA11042Removal of skin and tissue first 20 sq cm or less5227
PODIATRYCA73630X-ray of foot, minimum of 3 views1311

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890052310View full group profile
NameSpecialtyState
P O D I A T R YUT
P O D I A T R YCA
P O D I A T R YCA

Reviews

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Frequently asked questions

What identifier follows KYOUNG MIN HAN (D.P.M.) across health systems?
The NPI 1083954671 uniquely identifies KYOUNG MIN HAN (D.P.M.) in U.S. healthcare data.
Should I treat KYOUNG MIN HAN (D.P.M.) as an active provider?
Patients and plans typically see KYOUNG MIN HAN (D.P.M.) as active in the national extract.
What does the directory say KYOUNG MIN HAN (D.P.M.) does?
Insurance directories may phrase it differently, but here KYOUNG MIN HAN (D.P.M.) maps to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to KYOUNG MIN HAN (D.P.M.)?
KYOUNG MIN HAN (D.P.M.) shows a connection to San Diego, California in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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