DR. TAE-JUN AHN D.P.M.
NPI 1003923764
Podiatrist - Foot & Ankle Surgery in Glenview, IL

Q: What is Tae-jun Ahn's NPI number?

The NPI number for Tae-jun Ahn is 1003923764. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Tae-jun Ahn's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: Is Tae-jun Ahn enrolled in Medicare?

No. Tae-jun Ahn has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Tae-jun Ahn was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2006Opted out of Medicare · through Feb 10, 2028

1640 PLEASANT LN, GLENVIEW, IL 60025(773) 989-2500(877) 834-6714 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2024, Jun 17, 2016, Dec 10, 2015 (3 updates tracked since 2015).

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About Dr. Tae-jun Ahn D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TAE-JUN AHN D.P.M. (NPI 1003923764) is an individual foot & ankle surgery provider in Glenview, Illinois, licensed in Illinois (016005105) and active in the NPI registry since August 2006. He has opted out of Medicare through February 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003923764

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. TAE-JUN AHNCredential: D.P.M.

Location Address1640 PLEASANT LNGlenview, IL 60025-1847

Mailing Address1640 Pleasant LnGlenview, IL 60025-1847 · (773) 989-2500 · Fax (877) 834-6714

Phone(773) 989-2500

Fax(877) 834-6714

Sole ProprietorYes

Enumeration DateAugust 25, 2006

Last NPPES UpdateNovember 11, 20243 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1003923764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in IL · 016005105

1640 PLEASANT LN, Glenview, IL 60025

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Other Identifiers 2

Medicaid016005105IL

OtherP00631105IL · Medicare Railroad

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Tae-jun Ahn D.p.m. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 10, 2020 through February 10, 2028.

Opt-Out Effective DateFebruary 10, 2020

Opt-Out In Effect ThroughFebruary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNNIE YI-LOMOTAN

Licensed Practical Nurse

1640 PLEASANT LN
GLENVIEW, IL 60025

Cook County (847) 729-9017

MS. KATHY O VALENTIN CADC

Counselor (Addiction (Substance Use Disorder))

1640 PLEASANT LN
GLENVIEW, IL 60025

Cook County (847) 729-9017

UNITED FOOT & ANKLE SURGEONS, P.C.

Podiatrist

1640 PLEASANT LN
GLENVIEW, IL 60025

Cook County (773) 989-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tae-jun Ahn's NPI number?

The NPI number for Tae-jun Ahn is 1003923764. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Tae-jun Ahn located?

Tae-jun Ahn practices at 1640 Pleasant Ln, Glenview, IL 60025. The listed phone number is (773) 989-2500.

What is Tae-jun Ahn's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Tae-jun Ahn enrolled in Medicare?

No. Tae-jun Ahn has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tae-jun Ahn was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.