Active NPI
Ming-Hui Fan, MD
- Critical Care Medicine (Internal Medicine) Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 291395
- Practice address
- 55 Fruit St
Boston, MA 02114-2696 - Phone
- (617) 643-7972
- NPI assigned
- Jan 10, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | D89742 | MD | |
| Pulmonary Disease Physician | 207RP1001X | MD436457 | PA | |
| Pulmonary Disease Physician | 207RP1001X | D89742 | MD | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 291395 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
3400 Spruce St
1 Maloney Building
Philadelphia, PA 19104-4206
Phone (215) 614-0072
Other practice location 1
12502 Willowbrook Rd
Cumberland, MD 21502-6491
Phone (240) 964-8750
Other practice location 2
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-8750
Other practice location 3
3400 Spruce St
1 Maloney Building
Philadelphia, PA 19104-4206
Phone (215) 614-0072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, MA
- 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
- Critical Care (Intensivists)
- Education
- Harvard Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291395 | MA | MD | Critical Care Medicine (Internal Medicine) Physician |
| D89742 | MD | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medicine, Inc | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| York Hospital | Pulmonary Disease | Current | Accepting new patients |
| Upmc Western Maryland Health Services, LLC | Pulmonary Disease | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
16 Hospital Dr
York, ME 03909
Phone (207) 351-3455
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620
Interoperability endpoints
- mfan220297@direct.deaconess.com
Organizations & group practices 6
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
dba Stull, Jarvis and Spinola Internal Medicine Associates - UPMC
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1558976092
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
Pulmonary Disease
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1063561694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "1 MALONEY BUILDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-614-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-643-7972"
}
],
"practiceLocations": [
{
"address_1": "12502 Willowbrook Rd",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "MD",
"postal_code": "215026491",
"country_code": "US",
"telephone_number": "240-964-8750",
"fax_number": "240-964-8699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12500 Willowbrook Rd",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "MD",
"postal_code": "215026393",
"country_code": "US",
"telephone_number": "240-964-8750",
"fax_number": "240-964-8699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Spruce St",
"address_2": "1 Maloney Building",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044206",
"country_code": "US",
"telephone_number": "215-614-0072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAN",
"first_name": "MING-HUI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "D89742",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD436457",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D89742",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MA",
"license": "291395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.