SE JIN AHN M.D.
NPI 1083020820
Radiology - Diagnostic Radiology in Dallas, TX

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219(510) 683-9500 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Oct 21, 2019, Jul 26, 2019 (3 updates tracked since 2019).

About Se Jin Ahn M.d. NPPES

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

SE JIN AHN M.D. (NPI 1083020820) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Washington (MD61036239) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1083020820
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSE JIN AHNCredential: M.D.
Location Address2825 OAK LAWN AVE UNIT 192749Dallas, TX 75219-4688
Mailing Address2825 Oak Lawn Ave Unit 192749Dallas, TX 75219-4688 · (510) 683-9500 · Fax (877) 880-2039
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 1, 2014
Last NPPES UpdateApril 3, 20263 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
NPI 1083020820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in WA · MD61036239 Licensed in CA · A159414 Licensed in OH · 35C.003922 Licensed in TX · T7407
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2825 OAK LAWN AVE UNIT 192749, Dallas, TX 75219

Secondary Practice Locations 2

Location 1757 Westwood Plz Ste 1638Los Angeles, CA 90095-5201 · Phone (310) 267-8796 · Fax (310) 267-2059
Location 21245 16th St Ste 105Santa Monica, CA 90404-1239 · Phone (310) 301-6800 · Fax (310) 794-9035

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Se Jin Ahn M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527394865
PECOS Enrollment IDI20200810003482
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 75219 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219

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 Se Jin Ahn's NPI number?

The NPI number for Se Jin Ahn is 1083020820. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Se Jin Ahn located?

Se Jin Ahn practices at 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219. The listed phone number is (510) 683-9500.

What is Se Jin Ahn's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Se Jin Ahn enrolled in Medicare?

Yes. Se Jin Ahn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Se Jin Ahn accept?

Health plans from Blue Cross and Blue Shield of Texas list Se Jin 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 Se Jin Ahn was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.