DAVID HAN (MD) – Student in an Organized Health Care Education/Training Program, NPI 1073179388

DAVID HAN (MD) is a healthcare provider. based in Mattoon, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35.148576 (OH). The NPI Number for DAVID HAN (MD) is 1073179388

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DAVID HAN (MD)
NPI
1073179388
Phone
(217) 258-2551
Address
1000 Health Center Dr
Enumeration Date
13 May 2019
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9376446115
Graduation Year
2019 (7 years ago)
PAC ID
0143602946
Group Practice PAC ID
0547433328
Professional Enrollment ID
I20230706000457
Address ID
OH430405512MA500XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:7State licenses:3Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for DAVID HAN (MD)

  • 1000 Health Center Dr

    Mattoon, IL 619384644

    Phone: (217) 258-2551

    Type: Location

  • East Main Street, Flushing, Genesee County, Michigan, 48433, United States

    FLUSHING, NY 113555045

    Phone: (718) 661-8950

    Type: Location

  • 1476, Cameron Glen Drive, Marietta, Cobb County, Georgia, 30062, United States

    MARIETTA, GA 300623055

    Phone: (404) 512-6533

    Type: Mailing

  • PO BOX 9007

    CHARLOTTESVILLE, VA 229069007

    Phone:

    Type: Mailing

  • 1215 LEE ST

    CHARLOTTESVILLE, VA 229085045

    Phone: (434) 924-2231

    Fax: (434) 924-9295

    Type: Location

  • 1020 PRAIRIE VIEW CT

    NAPERVILLE, IL 605631983

    Phone:

    Type: Mailing

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: 2024-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230706000457IEmergency MedicineOHTBD
I20241227002332IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making176175$0
99284Emergency department visit with moderate level of medical decision making121121$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3636$0
99283Emergency department visit with low level of medical decision making2222$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 61938)

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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: 0547433328View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DAVID HAN (MD)?
Save NPI 1073179388 if you need a stable reference for DAVID HAN (MD).
Is DAVID HAN (MD)'s NPI currently valid?
The extract we use shows DAVID HAN (MD) as active.
What field does DAVID HAN (MD) work in?
You can think of DAVID HAN (MD) as practicing within Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Does DAVID HAN (MD) practice in Illinois?
You will see Mattoon, Illinois on file for DAVID HAN (MD) alongside any extra practice locations.
Is DAVID HAN (MD) a real provider?
This page reflects official NPPES data for NPI 1073179388. Always confirm identity and privileges with the practice and licensing boards.

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