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KYOUNG MIN HAN D.P.M.
NPI 1083954671
Podiatrist - Foot & Ankle Surgery in Poway, CA

Active since February 19, 2013PECOS EnrolledAccepts Medicare Assignment
15706 POMERADO RD STE 102, POWAY, CA 92064(858) 485-1494 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2021, Mar 18, 2016, Mar 3, 2016 (3 updates tracked since 2016).

About Kyoung Min Han D.p.m. NPPES

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

KYOUNG MIN HAN D.P.M. (NPI 1083954671) is an individual foot & ankle surgery provider in Poway, California, licensed in California (E5043) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2010).

NPPES Registry Identity

NPI1083954671
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameKYOUNG MIN HANCredential: D.P.M.
Location Address15706 POMERADO RD STE 102Poway, CA 92064-2032
Mailing Address15706 Pomerado Rd Ste 102Poway, CA 92064-2032 · (858) 485-1494
Phone(858) 485-1494
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2010
Enumeration DateFebruary 19, 2013
Last NPPES UpdateJuly 23, 20213 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
✔ NPI 1083954671 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 CA · E5043
15706 POMERADO RD STE 102, Poway, CA 92064
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyoung Min Han D.p.m. 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 ID1254574395
PECOS Enrollment IDI20130821000596
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 Kyoung Han reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seaside Foot And Ankle, Inc.
Same address
Foot & Ankle Surgery
15706 POMERADO RD STE S-102
Poway, CA 92064
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1326569708 (858) 485-1494

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
339 services181 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
269 services157 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
126 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
68 services68 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
33 services25 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
16 services11 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$19.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kyoung Han's NPI number?

The NPI number for Kyoung Han is 1083954671. It was assigned to this individual provider in the NPPES registry on February 19, 2013.

Where is Kyoung Han located?

Kyoung Han practices at 15706 Pomerado Rd Ste 102, Poway, CA 92064. The listed phone number is (858) 485-1494.

What is Kyoung Han's specialty?

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

Is Kyoung Han enrolled in Medicare?

Yes. Kyoung Han 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.

Which organization bills Medicare for Kyoung Han's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyoung Han reassigns Medicare benefits to Seaside Foot And Ankle, Inc. (Poway, CA). 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 Kyoung Han's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyoung Han was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.