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Tae-Jun Ahn, D.P.M.

NPI 1003923764ActiveIndividual· Podiatrist, Foot & Ankle Surgery· Glenview, IL

Opted out of Medicare from February 2020 to February 2028. Podiatrist, Foot & Ankle Surgery (D.P.M.) in Glenview, Illinois, licensed in IL, with an NPI issued in August 2006.

Overview

NPI1003923764
StatusActive
Entity typeIndividual
CredentialD.P.M.
Sole proprietorYes
NPI issuedAug 25, 2006
Last updated in NPPESNov 11, 2024
Certified by providerNov 11, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist, Foot & Ankle Surgery Primary213ES0103X016005105IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Feb 10, 2020 – Feb 10, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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