SAM SEUNGHAE AHN MD
NPI 1497783831
Surgery - Vascular Surgery in Los Angeles, CA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
1082 GLENDON AVE, LOS ANGELES, CA 90024(310) 209-2011(310) 209-2113 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2025, Jan 25, 2019 (2 updates tracked since 2019).

About Sam Seunghae Ahn Md NPPES

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

SAM SEUNGHAE AHN MD (NPI 1497783831) is an individual vascular surgery provider in Los Angeles, California, licensed in Texas (F1333) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Desoto, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1497783831
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameSAM SEUNGHAE AHNCredential: MD
Location Address1082 GLENDON AVELos Angeles, CA 90024-2908
Mailing Address1082 Glendon AveLos Angeles, CA 90024-2908 · (310) 209-2011 · Fax (310) 209-2113
Fax(310) 209-2113
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJune 28, 2006
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
NPI 1497783831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in TX · F1333
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1082 GLENDON AVE, Los Angeles, CA 90024

Secondary Practice Location 1

Location 12801 Bolton Boone Dr Ste 105DeSoto, TX 75115-2041 · Phone (214) 946-5165 · Fax (972) 296-2522

Other Identifiers 4

OtherP00429299TX · Railroad Medicare
Medicaid182297503TX
Other208087232TX · Tricare/champus
Other8AD481TX · Blue Cross Ppo

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

Sam Seunghae Ahn 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 ID7719995083
PECOS Enrollment IDI20060328000465, I20061003000206
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.

Areas of Expertise CMS Part B claims 24

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.

Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel 37253
An ultrasound evaluation of a blood vessel is a non-invasive procedure that uses sound waves to create images of your blood vessels. A radiologist reviews these images to check for any abnormalities. If additional vessels need reviewing, the process is repeated.
142 services25 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
132 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
109 services63 patients
Balloon dilation of vein with review by radiologist, each additional vein 37249
Balloon dilation of a vein is a procedure where a small balloon is inserted into a narrowed vein. The balloon is then inflated to widen the vein, improving blood flow. A radiologist reviews the procedure to ensure accuracy. If additional veins require this treatment, the process is repeated.
66 services17 patients
Insertion of tube into vein, second order branch 36012
This procedure involves placing a tube into a vein, specifically a second order branch, which is a smaller vein branching off a main one. It's done to administer medications or fluids, or to collect blood samples. It's a common, typically painless procedure performed under sterile conditions.
62 services18 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
55 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%35 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1082 GLENDON AVE
LOS ANGELES, CA 90024
Radiology (Vascular & Interventional Radiology)
1082 GLENDON AVE
LOS ANGELES, CA 90024
Physical Therapist
1082 GLENDON AVE
LOS ANGELES, CA 90024
Nurse Practitioner (Acute Care)
1082 GLENDON AVE
LOS ANGELES, CA 90024
Surgery (Vascular Surgery)
1082 GLENDON AVE
LOS ANGELES, CA 90024
Anesthesiology
1082 GLENDON AVE
LOS ANGELES, CA 90024
Radiology (Vascular & Interventional Radiology)
1082 GLENDON AVE
LOS ANGELES, CA 90024

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 Sam Ahn's NPI number?

The NPI number for Sam Ahn is 1497783831. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Sam Ahn located?

Sam Ahn practices at 1082 Glendon Ave, Los Angeles, CA 90024. The listed phone number is (310) 209-2011.

What is Sam Ahn's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Sam Ahn enrolled in Medicare?

Yes. Sam 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 Sam Ahn accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Sam 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 Sam Ahn was last updated on August 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.