JEANIE AHN M.D. – NPI #1053359356
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

JEANIE AHN is a physician located in FREMONT, CA. NPPES has assigned the NPI number 1053359356 to JEANIE AHN on June 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 4 years ago on Nov 27, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEANIE AHN below.

NPI Profile for
JEANIE AHN

NPI Number
1053359356
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JEANIE AHN
Professional Name: JEANIE AHN
Credentials
M.D.
Primary location
1999 MOWRY AVE
SUITE R
FREMONT, CA 94538-1738
Phone: (510) 745-8186 Fax: (510) 745-8332
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Nov 27, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEANIE AHN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA00A653150
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 CA A065315
174400000X
- Specialist		 CA A65315

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) - Graduated 1996
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JEANIE AHN is affiliated with the following medical group(s):
  • HOSPITAL
    • HIGHLAND HOSPITAL
      1411 EAST 31ST STREET
      OAKLAND, CA 94602
    • ST ROSE HOSPITAL
      27200 CALAROGA AVE
      HAYWARD, CA 94545
    • WASHINGTON HOSPITAL
      2000 MOWRY AVE
      FREMONT, CA 94538
  • DIALYSIS FACILITY
    • DAVITA FREMONT AT HOME PD
      39355 CALIFORNIA ST
      FREMONT, CA 94538
    • DAVITA FREMONT DIALYSIS
      2599 STEVENSON BLVD
      FREMONT, CA 94538

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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