NPIMap

Individual provider Active NPI

Zhen Fan, M.D

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1184876179
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N0756 Issued in TX
Practice address
1140 Business Center Dr Ste 403
Houston, TX 77043-2743
Phone
(713) 935-9758
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X N0756 TX
Surgery Physician 208600000X N0756 TX Primary

Addresses

Primary practice location

1140 Business Center Dr Ste 403
Houston, TX 77043-2743

Mailing address

1140 Business Center Dr
Ste. 403
Houston, TX 77043-2737
Phone (713) 827-8787

Other practice location 1

9440 Bellaire Blvd Ste 205
Houston, TX 77036-4557
Phone (713) 935-9758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090120000460 TX Practitioner - General Surgery 3678636511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Associates of Houston, P.a.Group PAC ID 0648294140, 2 clinicians

Practice addresses (Care Compare)

1140 Business Ctr Dr
Suite 403
Houston, TX 77043-2743
Phone (713) 935-9758

9440 Bellaire Blvd
Suite 205
Houston, TX 77036-4557
Phone (713) 935-9758

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)17
Varicose vein removal122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of Houston, P.a. Surgery CurrentSince Nov 1, 2008 Accepting new patients

Locations

1140 Business Center Dr
Ste 403
Houston, TX 77043
Phone (281) 713-5870

1140 Business Center Dr
#4
Houston, TX 77043

9440 Bellaire Blvd
Ste 205
Houston, TX 77036
Phone (281) 713-5870

Interoperability endpoints

  • Direct secure messaging: zhen.fan.1@13131.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1184876179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "STE. 403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432737",
            "telephone_number": "713-827-8787",
            "fax_number": "713-827-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR STE 403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432743",
            "telephone_number": "713-935-9758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9440 Bellaire Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770364557",
            "country_code": "US",
            "telephone_number": "713-935-9758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAN",
        "first_name": "ZHEN",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "N0756",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N0756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.