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HAEJUN CECILIA AHN MD
NPI 1013379221
Pediatrics - Pediatric Nephrology in Issaquah, WA

Active since March 26, 2016PECOS Enrolled
751 NE BLAKELY DR STE 5010, ISSAQUAH, WA 98029(425) 313-7088(425) 394-0757 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 14, 2023, Nov 22, 2023, Mar 26, 2016 (3 updates tracked since 2016).

About Haejun Cecilia Ahn Md NPPES

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

HAEJUN CECILIA AHN MD (NPI 1013379221) is an individual pediatric nephrology provider in Issaquah, Washington, licensed in Washington (MD61457162) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013379221
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameHAEJUN CECILIA AHNCredential: MD
Location Address751 NE BLAKELY DR STE 5010Issaquah, WA 98029-6201
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Phone(425) 313-7088
Fax(425) 394-0757
Sole ProprietorNo
Enumeration DateMarch 26, 2016
Last NPPES UpdateDecember 14, 20233 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
✔ NPI 1013379221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in WA · MD61457162
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
751 NE BLAKELY DR STE 5010, Issaquah, WA 98029
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haejun Cecilia Ahn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Haejun Ahn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Swedish Health Services
15 mi
Internal Medicine
800 5TH AVE, STE 600
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 1,270 clinicians in this Medicare group
NPI 1689612954 (206) 320-2700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. SARA ZARE PHD
Psychologist (Clinical)
751 NE BLAKELY DR STE 5010
ISSAQUAH, WA 98029
King County (425) 394-0700
MIRANDA CLAIRE CANFIELD RD
Dietitian, Registered
751 NE BLAKELY DR STE 5010
ISSAQUAH, WA 98029
King County (425) 313-7088
FRIDA RINETH PENA BENITEZ MD
Family Medicine
751 NE BLAKELY DR STE 5010
ISSAQUAH, WA 98029
King County (425) 394-0700
SAMER R HAFI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
751 NE BLAKELY DR STE 5010
ISSAQUAH, WA 98029
King County (425) 313-7757
MS. HELEN HYE-JUNG HANSEN PSYD
Psychologist (Clinical)
751 NE BLAKELY DR STE 5010
ISSAQUAH, WA 98029
King County (425) 394-0700
MRS. TIFFANY LYNNE HERR MD
Pediatrics
751 NE BLAKELY DR STE 5010
ISSAQUAH, WA 98029
King County (425) 394-0701
ERIC MICHAEL SCHULTZ DO
Internal Medicine
751 NE BLAKELY DR STE 5010
ISSAQUAH, WA 98029
King County (425) 394-0700
DR. MARK DANIEL BOUCHARD MD
Pediatrics
751 NE BLAKELY DR STE 5010
ISSAQUAH, WA 98029
King County (425) 394-0700

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 Haejun Ahn's NPI number?

The NPI number for Haejun Ahn is 1013379221. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Where is Haejun Ahn located?

Haejun Ahn practices at 751 NE Blakely Dr Ste 5010, Issaquah, WA 98029. The listed phone number is (425) 313-7088.

What is Haejun Ahn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Haejun Ahn enrolled in Medicare?

Yes. Haejun Ahn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Haejun Ahn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haejun Ahn reassigns Medicare benefits to Swedish Health Services (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haejun Ahn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haejun Ahn accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Haejun Ahn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Haejun Ahn was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.