KYUNG HEUP AHN (M.D.) – Psychiatry Physician, NPI 1750565016

KYUNG HEUP AHN (M.D.) is a healthcare provider. based in Southport, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 045620 (CT). The NPI Number for KYUNG HEUP AHN (M.D.) is 1750565016

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
KYUNG HEUP AHN (M.D.)
NPI
1750565016
Phone
(203) 429-4392
Address
107 JOHN ST
Enumeration Date
21 December 2007
Last Update Date
6 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2038633000
Graduation Year
1996 (30 years ago)
PAC ID
2668668658
Group Practice PAC ID
3678476710
Professional Enrollment ID
I20101202000795
Address ID
CT068304608GR5XXXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:18State licenses:1Digital endpointsOther names

851 PSYCHIATRY in CT

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Provider Addresses for KYUNG HEUP AHN (M.D.)

  • 107, John Street, Southport, Fairfield, Fairfield County, Connecticut, 06890, United States

    SUITE 3A

    SOUTHPORT, CT 068901466

    Phone: (203) 429-4392

    Fax: (844) 704-5841

    Type: Mailing

  • Yale New Haven Psychiatric Hospital, 184, Liberty Street, New Haven, New Haven County, Connecticut, 06510, United States

    YALE PSYCHIATRIC HOSPITAL

    NEW HAVEN, CT 065191625

    Phone: (203) 688-9907

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-12-02

PECOS data refreshed: 2026-05-27

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
I20101202000795IPsychiatryCTTBD

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 minutes9329$0
99212Established patient office or other outpatient visit, 10-19 minutes2114$0
99214Established patient office or other outpatient visit, 30-39 minutes1915$0
View full utilization report →

Insurance plans in this area (ZIP 06890)

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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: 3678476710View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineCT
Nuclear Medicine, Cardiovascular Disease (Cardiology), Internal MedicineNY
Emergency MedicineNY
-CT
Psychiatry, Neurology, PsychiatryCT
Emergency MedicineNY
-CT
Internal MedicineCT
-CT
-CT

Reviews

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Frequently asked questions

What is the standard ID for KYUNG HEUP AHN (M.D.) in the U.S.?
In the U.S., KYUNG HEUP AHN (M.D.) is identified by NPI 1750565016.
Does the public listing show KYUNG HEUP AHN (M.D.) as active?
KYUNG HEUP AHN (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say KYUNG HEUP AHN (M.D.) does?
Insurance directories may phrase it differently, but here KYUNG HEUP AHN (M.D.) maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KYUNG HEUP AHN (M.D.) in Southport, Connecticut?
For routing, start with Southport, Connecticut for KYUNG HEUP AHN (M.D.), then verify phone and hours locally.
Why is information missing for KYUNG HEUP AHN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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