Susan Willig Fan, M.D.
Individual provider Active NPI Body Imaging Physician · Baytown, TX
NPI 1124044995 · NPPES record last updated May 20, 2026
Key facts
- NPI
- 1124044995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Body Imaging Physician 2085B0100X
- License
- H7012 (TX)
- Practice address
- 2800 Garth Rd
Baytown, TX 77521-3947 - Phone
- (281) 427-3700
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 30
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 Area
Memorial MRI and Diagnostic LLC
Miguel Oneto, MD, PA
Dhew Ind HLTH SV HLTH SVS and MNTL HLTH Adm
DHHS,PHS,Naihs, Gallup Indian Medical Center
DHHS IHS Phoenix Area
The Fort Defiance Indian Hospital Board, Incorporation
DHHS PHS Naihs Chinle Comprehensive Health Care Facility
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
- Fort Defiance Indian Hospital
- Chinle Comprehensive Health Care Facility
- Gallup Indian Medical Center
- Phoenix Indian Medical Center
- Parker Indian Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050811000390 | TX | Practitioner - Diagnostic Radiology | 6800825639 | Reassigns benefits to 11 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H7012 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Step Diagnostic VIII LP | Current |
Accepting new patients | |
| One Step Diagnostic XI LP | Current |
Accepting new patients | |
| One Step Diagnostic, Inc. | Current |
Accepting new patients | |
| Southwestern Ultrasound Inc. | Current |
Accepting new patients | |
| One Step Diagnostic II, Inc. | Current |
Accepting new patients | |
| The Fort Defiance Indian Hospital Board, Incorporation | Current |
Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive | Current |
Accepting new patients | |
| Health and Human Services Commission | Current |
Accepting new patients | |
| One Step Diagnostic IV LP | Current |
Accepting new patients | |
| Memorial MRI and Diagnostic LLC | Body Imaging | Current |
Accepting new patients |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current |
Accepting new patients | |
| DHHS IHS Phoenix | Current |
Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current |
Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Irene Benn Medical Center | Current |
Accepting new patients | |
| One Step Diagnostic IX LP | Current |
Accepting new patients | |
| One Step Diagnostic III, L.P. | Current |
Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current |
Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current |
Accepting new patients | |
| Miguel Oneto, MD, PA | Diagnostic Radiology | Current |
Accepting new patients |
| One Step Diagnostic XII LP | Current |
Accepting new patients | |
| DHHS IHS Phoenix Area | Current |
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
7812 Gateway Blvd E
Ste 120
El Paso, TX 79915
Phone (502) 533-3854
1727 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 225-0366
122 W Castellano Dr
El Paso, TX 79912
Phone 91557701002500
3080 Joe Battle Blvd
Ste B
El Paso, TX 79938
Phone (915) 313-7325
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | H7012 | TX | Yes |
| 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
Other providers in Baytown, TX
- Eyemasters of Texas LTD
- Faith Community Hospice LLC
- Faiza Tahir MD PA
- Family Chiropractic Health Center
- Family Matters Logistic
- Daniela Marta Fant
- Farouk Barbandi MD PA
- Kathryn Francis Fayle
- Tiffany Feathers
- Federico L. Dancel, Jr., M.D., P.a.
All providers in Baytown, TX · Body Imaging Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.