PEGGY KIM HAN M.D.
NPI 1114223773
Pediatrics - Pediatric Critical Care Medicine in Palo Alto, CA

Q: What is Peggy Han's NPI number?

The NPI number for Peggy Han is 1114223773. It was assigned to this individual provider in the NPPES registry on January 31, 2011.

Q: What is Peggy Han's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Peggy Han was last updated on April 10, 2024. 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.

Active since January 31, 2011PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2024, Aug 29, 2019 (2 updates tracked since 2019).

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About Peggy Kim Han M.d. NPPES

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

PEGGY KIM HAN M.D. (NPI 1114223773) is an individual pediatric critical care medicine provider in Palo Alto, California, licensed in California (A112112) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1114223773

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NamePEGGY KIM HANCredential: M.D.

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateJanuary 31, 2011

Last NPPES UpdateApril 10, 20242 updates tracked since enumeration

NPPES CertifiedApril 10, 2024

✔ NPI 1114223773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in CA · A112112✔ Licensed in NY · 2767051

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License A112112 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Secondary Practice Location 1

Location 1525 E 68th St # M-508New York, NY 10065-4870 · Phone (212) 746-4316

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peggy Kim Han M.d. 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.

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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)