Chiao-Ya Grace Fan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L3296 Issued in TX

Practice address

15201 Mason Rd Ste 1200
Cypress, TX 77433-5977

Phone

(281) 373-0162

Fax

(281) 373-0765

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Baylor College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairfield Family Physicians, PAGroup PAC ID 9739159328, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chiaoya.fan@ff.eclinicaldirectplus.com

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.

• Fairfield Family Physicians, PA

  • Family Medicine Physician
  • Cypress, TX
  • NPI 1366549347
  Medicare reassignment Care Compare group NPD
• Cesario a Castillo MD PA

  • Family Medicine Physician
  • Houston, TX
  • NPI 1588761589
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hermann Health System

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Houston, TX
  • NPI 1437189115

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1982666111
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1114089240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 MASON RD STE 1200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335977",
            "telephone_number": "281-373-0162",
            "fax_number": "281-373-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 MASON RD STE 1200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335977",
            "telephone_number": "281-373-0162",
            "fax_number": "281-373-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "CHIAO-YA GRACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omobolaji Fakolujo
• Gabriella Falco
• Alma Falcon, NNP-BC
• Family Autism Center LLC
• Family First Speech Therapy, L,L,C.
• Amarachi Fapohunda
• Farmaj LLC
• Mouzamjha Faroqui
• Catinia Farrington
• Kimberly Ann Faterkowski, LAT

• Family Medicine Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.

Verify at the official NPI Registry.