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ZHAIJUN FAN DO NPI 1124225578


NPI Information

NPI: 1124225578
Provider Name: ZHAIJUN FAN, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: BEACON MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1815 E IRELAND RD
SOUTH BEND, IN
ZIP 46614
Phone: (574) 647-1750
Get Directions

Zhaijun Fan, DO is a family medicine in South Bend, IN with 17 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Zhaijun Fan, DO NPI is 1124225578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2007

The provider's business location address is:

1815 E IRELAND RD
SOUTH BEND, IN
ZIP 46614-845
Phone: (574) 647-1750
Fax: (574) 647-1748

The NPI 1124225578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Automated urinalysis test (HCPCS:81003)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 6/29/2007 and was last updated on 4/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine02003570AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200977390MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.