Active NPI
Daniel T. Fang, M.D.
- Surgery Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30861
- Practice address
- 3811 E Bell Rd Ste 300
Phoenix, AZ 85032-2160 - Phone
- (480) 454-7350
- Fax
- (602) 482-2874
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 267271-1205 | UT | |
| Surgery Physician | 208600000X | 30861 | AZ | Primary |
Addresses
Primary practice location
3811 E Bell Rd Ste 300
Phoenix, AZ 85032-2160
Mailing address
3811 E Bell Rd Ste 300
Phoenix, AZ 85032-2160
Phone (480) 454-7350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 727513 | Other | AZ | AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Maryland School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18700 N 64TH Dr
Suite 301
Glendale, AZ 85308-7114
Phone (602) 674-6582
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267271-1205 | UT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| Abdominal Surgeons,LTD | Surgery | Past | Accepting new patients |
| VHS Acquisition Subsidiary Number 1 Inc | Past | Accepting new patients |
Locations
3125 N Dysart Rd
Avondale, AZ 85392
Phone (623) 882-9161
5112 W Olive Ave
Ste C113
Glendale, AZ 85302
Phone (623) 934-9267
18700 N 64th Dr
Ste 301
Glendale, AZ 85308
Phone (623) 561-5437
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350
Interoperability endpoints
- daniel.fang.1@600.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Abrazo Medical Group
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
-
dba Arizona Sports Medicine Center (ASMC)
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1891302790
-
dba Abrazo Scottsdale Campus
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Abrazo Scottsdale Campus
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
-
dba Abrazo Arrowhead Campus
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
dba Abrazo Peoria Emergency Center
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1033170634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 E BELL RD STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322160",
"telephone_number": "480-454-7350",
"fax_number": "602-482-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 E BELL RD STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322160",
"telephone_number": "480-454-7350",
"fax_number": "602-482-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "DANIEL",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "267271-1205",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "30861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "727513",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.