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JAE AHN MD
NPI 1053102202
Surgery in Oklahoma City, OK

Active since May 16, 2025PECOS Enrolled
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104(405) 271-6308 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jae Ahn Md NPPES

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

JAE AHN MD (NPI 1053102202) is an individual surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (45722) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053102202
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAE AHNCredential: MD
Location Address800 STANTON L YOUNG BLVDOklahoma City, OK 73104-5018
Mailing Address800 Stanton L Young BlvdOklahoma City, OK 73104-5018
Phone(405) 271-6308
Sole ProprietorNo
Enumeration DateMay 16, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1053102202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 45722
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
800 STANTON L YOUNG BLVD, Oklahoma City, OK 73104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jae 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ROHAN HYLTON
Anesthesiology
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
DR. JAKE LEE EVANS MD
Radiology (Diagnostic Radiology)
800 STANTON L YOUNG BLVD, AAT 6300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
MADISON RYANNE CRAFT MD
Orthopaedic Surgery
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (915) 783-8164
MACGREGOR THOMAS
Student in an Organized Health Care Education/Training Program
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
DAVID SAN MARTIN
Student in an Organized Health Care Education/Training Program
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
VIJAY RAJ
Student in an Organized Health Care Education/Training Program
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
MICHAEL TAYLOR HEATH MD
Surgery
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6308
DR. ILINA TERZIYSKI MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8469

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 Jae Ahn's NPI number?

The NPI number for Jae Ahn is 1053102202. It was assigned to this individual provider in the NPPES registry on May 16, 2025.

Where is Jae Ahn located?

Jae Ahn practices at 800 Stanton L Young Blvd, Oklahoma City, OK 73104. The listed phone number is (405) 271-6308.

What is Jae Ahn's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jae Ahn enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jae Ahn was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.