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ROGER FAN MD NPI 1508928128


NPI Information

NPI: 1508928128
Provider Name: ROGER FAN, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION

PECOS Registration: Yes

Address:
HEALTH SCIENCES CTR
T16-080
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-1226
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Roger Fan, MD is a cardiovascular disease internal medicine in Stony Brook, NY with 23 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Roger Fan, MD NPI is 1508928128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

HEALTH SCIENCES CTR
T16-080
STONY BROOK, NY
ZIP 11794-001
Phone: (631) 444-1226

The NPI 1508928128 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.

  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93284)
  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes (HCPCS:33208)
  • Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93283)

The enumeration date for this NPI number is 12/14/2006 and was last updated on 9/15/2008.


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
1207RC0000XInternal MedicineCardiovascular DiseaseMT184514PENNSYLVANIAYes

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.