MARY AHN (MD) – Surgery Physician, NPI 1407809056

MARY AHN (MD) is a healthcare provider. based in Warrenville, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 036-096682 (IL). The NPI Number for MARY AHN (MD) is 1407809056

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MARY AHN (MD)
NPI
1407809056
Phone
(630) 307-7799
Address
4405 Weaver Pkwy
Enumeration Date
17 May 2006
Last Update Date
13 November 2025

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
6304690045
Graduation Year
1995 (31 years ago)
PAC ID
2961472246
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20070416000581
Address ID
IL601374622GL444XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,422 GENERAL SURGERY in IL

Provider Addresses for MARY AHN (MD)

  • 4405 Weaver Pkwy

    Warrenville, IL 605553269

    Phone: (630) 307-7799

    Fax: (630) 307-2277

    Type: Location

  • 304 Randall Rd

    Geneva, IL 601344200

    Phone: (630) 307-7799

    Fax: (630) 307-2277

    Type: Location

  • 25 N WINFIELD RD STE 2202

    WINFIELD, IL 601901379

    Phone: (630) 307-7799

    Fax: (630) 307-2277

    Type: Location

  • 351 DELNOR DR

    GENEVA, IL 601344220

    Phone: (630) 307-7799

    Fax: (630) 307-2277

    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: 2007-04-16

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
I20070416000581IGeneral SurgeryILTBD

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 minutes108104$0
19301Partial removal of breast3937$0
99205New patient office or other outpatient visit, 60-74 minutes3838$0
99214Established patient office or other outpatient visit, 30-39 minutes3532$0
38900Imaging of lymph nodes during surgery2525$0
View full utilization report →

Insurance plans in this area (ZIP 60555)

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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: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

Can I cross-check MARY AHN (MD) using NPI 1407809056?
NPI 1407809056 belongs to MARY AHN (MD); compare other details if you need extra assurance.
Is MARY AHN (MD) shown as active in public data?
Registry records indicate MARY AHN (MD) maintains an active NPI.
What clinical focus is listed for MARY AHN (MD)?
At a glance, MARY AHN (MD) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is MARY AHN (MD) registered?
Use Warrenville, Illinois as the headline location for MARY AHN (MD) here.
Does MARY AHN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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