Xinqing Fan, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

M2319 Issued in TX

Practice address

3509 Spectrum Blvd
Richardson, TX 75082-9999

Phone

(972) 238-1858

NPI assigned

Jun 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

GastroenterologyAlso: Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Dallas Digestive DiseaseGroup PAC ID 3971767930, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• North Dallas Digestive Disease

  • Medical Specialty Clinic/Center
  • Richardson, TX
  • NPI 1144593294
  Medicare reassignment Care Compare group NPD Authorized official
• Mapleshade Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Plano, TX
  • NPI 1235789041
  NPD

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1265636823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 BRAEMAR DR.",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750939999",
            "telephone_number": "972-238-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 SPECTRUM BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829999",
            "telephone_number": "972-238-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "XINQING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2319",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M2319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Ferry Express Non-Emergency Transport LLC
• Family Health Partners, P.a.
• Family Nurses Home Health Services Inc.
• Family Wellness Chiropractic Center, Inc.
• Fan of Dentistry PLLC
• Steven Earl Fandre, PA
• Nanda Fanfair
• Elizabeth Kelly Fanning, LPC-ASSOCIATE
• Kristin Hendricks Fant, MCN, RDN, LD
• Staci Marie Farley, LPC

• Gastroenterology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.