Se Jin Ahn, M.D.
NPI 1083020820 · Diagnostic Radiology Physician · Dallas, TX
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Se Jin Ahn, M.D. is a Diagnostic Radiology Physician provider in Dallas, TX (NPI 1083020820).
Provider details
- NPI number
- 1083020820
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- A159414 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 757 Westwood Plz Ste 1638Los Angeles, CA 90095-5201Phone: (310) 267-8796Fax: (310) 267-2059
- 1245 16th St Ste 105Santa Monica, CA 90404-1239Phone: (310) 301-6800Fax: (310) 794-9035
Registry dates
- Enumerated
- 2014-07-01
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Frequently asked questions
- What is Se Jin Ahn's NPI number?
- Se Jin Ahn's National Provider Identifier (NPI) is 1083020820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Se Jin Ahn's specialty?
- Se Jin Ahn is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Se Jin Ahn located?
- Se Jin Ahn's practice location on file with NPPES is 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688.
- What is Se Jin Ahn's phone number?
- The practice phone number listed in the NPPES registry for Se Jin Ahn is (510) 683-9500.
- Does Se Jin Ahn accept Medicare?
- Se Jin Ahn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Se Jin Ahn's NPI active?
- Yes — Se Jin Ahn's NPI (1083020820) is active in the NPPES registry as of the last update on 2026-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.