JIYONG AHN (MD) – Vascular & Interventional Radiology Physician, NPI 1841298833
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 VASCULAR SURGERY in CT
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Provider Addresses for JIYONG AHN (MD)
Universal Drive North, North Haven, New Haven County, Connecticut, 06473, United States
NORTH HAVEN, CT 064733163
Phone: (475) 655-3970
Fax: (475) 655-3971
Type: Location
716 BROADWAY APT 1
BAYONNE, NJ 070024763
Phone: (646) 522-2104
Type: Location
2001, Butterfield Road, Downers Grove, DuPage County, Illinois, 60148:60515, United States
SUITE 300
DOWNERS GROVE, IL 605151069
Phone: (630) 725-2730
Fax: (844) 205-5691
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $444.
Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Medtronic, Inc. ($218).
Total Amount
$444
General + Research + Ownership
Payments
9
Total payment records
General Amount
$444
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $218 |
| Novastep Inc. | $150 |
| Boston Scientific Corporation | $23 |
| TACTILE SYSTEMS TECHNOLOGY INC | $20 |
| Tactile Systems Technology Inc | $18 |
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: 2004-10-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041006001515 | I | Vascular Surgery | NY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06473)
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