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LIWEN HAN MD
NPI 1205030459
Internal Medicine in Riverside, CA

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
9041 MAGNOLIA AVE STE 107, RIVERSIDE, CA 92503(951) 328-1850 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Liwen Han Md NPPES

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

LIWEN HAN MD (NPI 1205030459) is an individual internal medicine provider in Riverside, California, licensed in California (A100283) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1205030459
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLIWEN HANCredential: MD
Location Address9041 MAGNOLIA AVE STE 107Riverside, CA 92503-3942
Mailing Address117 Macademia LnSimi Valley, CA 93065-6914 · (805) 306-9476 · Fax (951) 328-1854
Phone(951) 328-1850
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 12, 2007
Last NPPES UpdateOctober 14, 2021
NPPES CertifiedOctober 14, 2021
✔ NPI 1205030459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A100283
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9041 MAGNOLIA AVE STE 107, Riverside, CA 92503
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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

Liwen Han Md 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 ID3971604661
PECOS Enrollment IDI20070725000275
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 Liwen Han reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2.3 mi
Health Maintenance Organization
10800 MAGNOLIA AVE
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1316979834 (866) 984-7483

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Liwen Han's NPI number?

The NPI number for Liwen Han is 1205030459. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Liwen Han located?

Liwen Han practices at 9041 Magnolia Ave Ste 107, Riverside, CA 92503. The listed phone number is (951) 328-1850.

What is Liwen Han's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Liwen Han enrolled in Medicare?

Yes. Liwen 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 Liwen Han's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Liwen Han reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, 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 Liwen 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 Liwen Han was last updated on October 14, 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.