Active NPI
Karen A. Fagan, MD
- Pulmonary Disease Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 28767
- Practice address
- 2150 Pennsylvania Ave NW
Washington, DC 20037-3201 - Phone
- (202) 741-3540
- Fax
- (202) 741-2238
- NPI assigned
- Oct 13, 2006
- Last updated
- Aug 6, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 33695 | CO | |
| Pulmonary Disease Physician | 207RP1001X | 28767 | AL | Primary |
Addresses
Primary practice location
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Mailing address
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01336957 | Medicaid | CO | |
| 51547640 | Other | AL | BCBS-3301 KNOLLWOOD DR |
| 06135261 | Medicaid | MS | |
| 51547639 | Other | AL | BCBS-2451 FILLINGIM ST |
| 51547630 | Other | AL | BCBS - 575 STANTON RD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of California, San Diego School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-2600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28767 | AL | MD | Pulmonary Disease Physician |
| 33695 | CO | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| USA Health - Mci Business Services LLC | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients |
Locations
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
2451 University Hospital Dr
Ste 102
Mobile, AL 36617
Phone (251) 470-5890
575 Stanton Rd
Mobile, AL 36617
Phone (251) 471-7207
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222
2150 Pennsylvania Ave NW
#3
Washington, DC 20037
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
Interoperability endpoints
- kfagan44579@gwmfa.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
dba USA Student Health Center
- Family Medicine Physician
- Mobile, AL
- NPI 1992746838
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
-
- Clinical Medical Laboratory
- Mobile, AL
- NPI 1497859052
-
- Hematology & Oncology Physician
- Mobile, AL
- NPI 1952972812
-
dba USA Radiology
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
-
dba USA Mitchell Cancer Institute
- Radiation Oncology Physician
- Mobile, AL
- NPI 1871150508
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The George Washington University Hospital
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1053401737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "202-741-3540",
"fax_number": "202-741-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGAN",
"first_name": "KAREN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CO",
"license": "33695",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AL",
"license": "28767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01336957",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-3301 KNOLLWOOD DR",
"identifier": "51547640",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06135261",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-2451 FILLINGIM ST",
"identifier": "51547639",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - 575 STANTON RD",
"identifier": "51547630",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.