DR. MARIE J HAN (MD) – Dermatology Physician, NPI 1891773198

DR. MARIE J HAN (MD) is a healthcare provider. based in San antonio, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. R3096 (TX). The NPI Number for DR. MARIE J HAN (MD) is 1891773198

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIE J HAN (MD)
NPI
1891773198
Phone
(210) 916-3249
Address
3551 Roger Brooke Dr
Enumeration Date
6 January 2006
Last Update Date
3 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
2106157171
Graduation Year
2003 (23 years ago)
PAC ID
0547680290
Group Practice PAC ID
6800837659
Professional Enrollment ID
I20240709002113
Address ID
TX782492380SA16110SHAV300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for DR. MARIE J HAN (MD)

  • 3551 Roger Brooke Dr

    San Antonio, TX 782344504

    Phone: (210) 916-3249

    Type: Location

  • 1100 WILFORD HALL LOOP BLDG 4554

    JBSA LACKLAND, TX 782365638

    Phone: (210) 292-8808

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 130 Open Payments records for all available years, with a total value of $3,365.

Total Amount is formed as General ($3,365) + Research ($0) + Ownership ($0) = $3,365.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($569).

Total Amount

$3,365

General + Research + Ownership

Payments

130

Total payment records

General Amount

$3,365

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-07-09

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
I20240709002113IDermatologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78234)

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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: 6800837659View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
-WA
Physician AssistantTX
Pathology, DermatologyTX
D E R M A T O L O G YTX
Physician AssistantTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Physician AssistantTX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

How do I look up DR. MARIE J HAN (MD) by NPI?
Use NPI 1891773198 when you need to reference DR. MARIE J HAN (MD) in forms, claims, or directories.
Is DR. MARIE J HAN (MD) currently active in the NPI registry?
CMS-published data lists DR. MARIE J HAN (MD) as an active registrant.
Does DR. MARIE J HAN (MD) list a primary specialty?
If you are matching referrals, note Dermatology Physician for DR. MARIE J HAN (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MARIE J HAN (MD)?
The page summarizes San Antonio, Texas for DR. MARIE J HAN (MD); expand the address list for detail.
What if San Antonio, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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