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DR. JISU HAN DO
NPI 1306322276
Family Medicine in New York, NY

Active since July 13, 2018PECOS EnrolledAccepts Medicare Assignment
154 WADSWORTH AVE., NEW YORK, NY 10033(212) 866-3096 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2022, Jul 13, 2018 (2 updates tracked since 2018).

About Dr. Jisu Han Do NPPES

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

DR. JISU HAN DO (NPI 1306322276) is an individual family medicine provider in New York, New York, licensed in New York (316419) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1306322276
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JISU HANCredential: DO
Location Address154 WADSWORTH AVE.New York, NY 10033
Mailing Address154 Wadsworth AveNew York, NY 10033
Phone(212) 866-3096
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2018
Enumeration DateJuly 13, 2018
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1306322276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 316419
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X · License 316419 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
154 WADSWORTH AVE., New York, NY 10033
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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 and accepts Medicare assignment

Dr. Jisu Han Do 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 ID4981072212
PECOS Enrollment IDI20221117002463
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 10033 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 Jisu Han's NPI number?

The NPI number for Jisu Han is 1306322276. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Jisu Han located?

Jisu Han practices at 154 Wadsworth Ave., New York, NY 10033. The listed phone number is (212) 866-3096.

What is Jisu Han's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jisu Han enrolled in Medicare?

Yes. Jisu 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.

When was this NPI record last updated?

The NPPES record for Jisu Han was last updated on August 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.