1. Home
  2. Directory
  3. Pennsylvania
  4. Indiana
  5. Physician Assistant
  6. NPI Profile

SHENGGAO HAN MD LLC
NPI 1619352820
Physician Assistant - Medical in Indiana, PA

Active since July 29, 2015CLIA 39D0181441 · Waiver
625 RUSTIC LODGE RD, INDIANA, PA 15701(724) 463-3720(724) 463-6111 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shenggao Han Md Llc NPPES

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

SHENGGAO HAN MD LLC (NPI 1619352820) is a healthcare organization registered as a medical in Indiana, Pennsylvania and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Shenggao Han, Physician, as its authorized official.

NPPES Registry Identity

NPI1619352820
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameSHENGGAO HAN MD LLC
Location Address625 RUSTIC LODGE RDIndiana, PA 15701-3440
Mailing Address625 Rustic Lodge RdIndiana, PA 15701-3440 · (724) 463-3720 · Fax (724) 463-6111
Phone(724) 463-3720
Fax(724) 463-6111
Organization SubpartNo
Authorized OfficialShenggao HanPhysician · (724) 463-3720
Enumeration DateJuly 29, 2015
✔ NPI 1619352820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
625 RUSTIC LODGE RD, Indiana, PA 15701
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0181441

Shenggao Han MD · Indiana, PA
Active · expires Sep 22, 2027
CLIA Number39D0181441
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorShenggao M. Han MD
Laboratory Phone(724) 463-3720
Laboratory LocationShenggao Han MD625 Rustic Lodge Rd, Indiana, PA 15701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

XIANWEN QIAO CRNP
Nurse Practitioner (Adult Health)
625 RUSTIC LODGE RD, STE B
INDIANA, PA 15701
Indiana County (724) 463-3720
SHENGGAO HAN MD LLC
Internal Medicine
625 RUSTIC LODGE RD, SUITE B
INDIANA, PA 15701
Indiana County (724) 463-3720
JACOB AUSTIN NEUNER LPC
Counselor (Professional)
625 RUSTIC LODGE RD
INDIANA, PA 15701
Indiana County (724) 349-6320
SHENGGAO HAN MD
Internal Medicine
625 RUSTIC LODGE RD, SUITE B
INDIANA, PA 15701
Indiana County (724) 463-3720
JOHN CLAIR
Physician Assistant (Medical)
625 RUSTIC LODGE RD, UPMC ST MARGARET HOSPITAL
INDIANA, PA 15701
Indiana County (724) 463-3720
DR. ROBERT PAUL SNYDER D.O.
Internal Medicine
625 RUSTIC LODGE RD, SUITE B
INDIANA, PA 15701
Indiana County (724) 463-3720
PATRICIA RAE SISAK BROWN LPC
Counselor (Professional)
625 RUSTIC LODGE RD
INDIANA, PA 15701
Indiana County (724) 349-6320

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 Shenggao Han MD LLC's NPI number?

The NPI number for Shenggao Han MD LLC is 1619352820. It was assigned to this organization in the NPPES registry on July 29, 2015.

Where is Shenggao Han MD LLC located?

Shenggao Han MD LLC is located at 625 Rustic Lodge Rd, Indiana, PA 15701. The listed phone number is (724) 463-3720.

What is Shenggao Han MD LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Shenggao Han MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0181441) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shenggao Han MD LLC was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.