Individual provider Active NPI

Susan Willig Fan, M.D.

  • Body Imaging Physician
  • Baytown, TX
National Provider Identifier
1124044995
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
H7012 Issued in TX
Practice address
2800 Garth Rd
Baytown, TX 77521-3947
Phone
(281) 427-3700
NPI assigned
Jul 14, 2006
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X H7012 TX Primary
Diagnostic Radiology Physician 2085R0202X H7012 TX

Addresses

Primary practice location

2800 Garth Rd
Baytown, TX 77521-3947

Mailing address

319 Hawthorne St
Houston, TX 77006-4007

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050811000390 TX Practitioner - Diagnostic Radiology 6800825639 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS IHS Phoenix AreaGroup PAC ID 0244405629, 54 clinicians
Memorial MRI and Diagnostic LLCGroup PAC ID 6507859568, 77 clinicians
Miguel Oneto, MD, PAGroup PAC ID 3476677600, 8 clinicians
DHHS IHS Phoenix AreaGroup PAC ID 7810163011, 25 clinicians

Practice addresses (Care Compare)

12033 Agency Rd
Parker, AZ 85344-7718
Phone (928) 669-2137

122 W Castellano Dr
El Paso, TX 79912-6170
Phone (915) 577-0100

28430 Valencia Cir W
Harlingen, TX 78552-2241
Phone (956) 627-3083

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000

943 Hualapai Way
Peach Springs Health Center
Peach Springs, AZ 86434-0190
Phone (928) 769-2900

Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082

Highway 191 and Hospital Rd
Chinle, AZ 86503-8000
Phone 92867470307030

PO Box
Suite 649
Fort Defiance, AZ 86504-0649

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Mar 23, 2025 Accepting new patients
One Step Diagnostic III, L.P. CurrentSince May 1, 2023 Accepting new patients
One Step Diagnostic, Inc. CurrentSince May 1, 2023 Accepting new patients
One Step Diagnostic VII LP CurrentSince May 1, 2023 Accepting new patients
DHHS IHS Phoenix CurrentSince Mar 29, 2025 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Apr 6, 2025 Accepting new patients
Southwestern Ultrasound Inc. CurrentSince Aug 1, 2025 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
One Step Diagnostic II, Inc. CurrentSince May 1, 2023 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Apr 7, 2025 Accepting new patients
One Step Diagnostic VIII LP CurrentSince May 1, 2023 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Jun 12, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Mar 23, 2025 Accepting new patients
One Step Diagnostic XII LP CurrentSince Oct 15, 2024 Accepting new patients
One Step Diagnostic XI LP CurrentSince May 1, 2023 Accepting new patients
Miguel Oneto, MD, PA Diagnostic Radiology CurrentSince Feb 1, 2013 Accepting new patients
Irene Benn Medical Center CurrentSince Mar 29, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 29, 2025 Accepting new patients
Baaxten, LLC CurrentSince Jun 1, 2011 Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
One Step Diagnostic IV LP CurrentSince May 1, 2023 Accepting new patients
Memorial MRI and Diagnostic LLC Body Imaging CurrentSince Dec 1, 2019 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Jun 12, 2025 Accepting new patients
One Step Diagnostic IX LP CurrentSince May 1, 2023 Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients
Baylor College of Medicine Diagnostic Radiology Past Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

6491 Southwest Blvd
Benbrook, TX 76132
Phone (214) 341-8770

3502 Spid Dr
Corpus Christi, TX 78415
Phone (361) 854-4400

3824 Cedar Springs Rd
Dallas, TX 75219
Phone (469) 634-0050

122 W Castellano Dr
El Paso, TX 79912
Phone 91557701002500

1727 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 225-0366

3080 Joe Battle Blvd
Ste B
El Paso, TX 79938
Phone (915) 313-7325

7812 Gateway Blvd E
Ste 120
El Paso, TX 79915
Phone (502) 533-3854

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

11740 Katy Fwy
Ste 1300
Houston, TX 77079
Phone (956) 622-4430

1346 Campbell Rd
Houston, TX 77055

1000 E Expressway 83
Ste 4
La Joya, TX 78560
Phone (956) 585-1688

1360 W Campbell Rd
Ste 122
Richardson, TX 75080
Phone (972) 333-4016

11211 S Highway 6
Sugar Land, TX 77498

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1124044995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HAWTHORNE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213947",
            "telephone_number": "281-427-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "SUSAN",
        "middle_name": "WILLIG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "H7012",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H7012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.