Active NPI
Brenda K. Fann, MD
- Hospitalist Physician
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036100490
- Practice address
- 2020 Ogden Ave
Suite 330
Aurora, IL 60504-5894 - Phone
- (630) 978-4850
- Fax
- (630) 978-6865
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036100490 | IL | Primary |
| Family Medicine Physician | 207Q00000X | 036100490 | IL |
Addresses
Primary practice location
2020 Ogden Ave
Suite 330
Aurora, IL 60504-5894
Mailing address
2020 Ogden Ave Ste 330
Aurora, IL 60504-5897
Phone (630) 978-4850
Other practice location 1
300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 933-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 933-4700
Hospital & facility affiliations
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036100490 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vna Health Care | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Vna Health Care | Current | Accepting new patients | |
| Central Dupage Physician Group | Family Medicine | Current | Accepting new patients |
Locations
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
400 N Highland Ave
Aurora, IL 60506
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- bfann84158@direct.rush.rush-health.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- General Practice Physician
- Aurora, IL
- NPI 1508826983
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Federally Qualified Health Center (FQHC)
- Aurora, IL
- NPI 1700910981
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1356442347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 OGDEN AVE STE 330",
"city": "AURORA",
"state": "IL",
"postal_code": "605045897",
"telephone_number": "630-978-4850",
"fax_number": "630-978-6865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 OGDEN AVE",
"address_2": "SUITE 330",
"city": "AURORA",
"state": "IL",
"postal_code": "605045894",
"telephone_number": "630-978-4850",
"fax_number": "630-978-6865"
}
],
"practiceLocations": [
{
"address_1": "300 Randall Rd",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "IL",
"postal_code": "601344200",
"country_code": "US",
"telephone_number": "630-933-4700",
"fax_number": "630-933-4427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANN",
"first_name": "BRENDA",
"middle_name": "K.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036100490",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036100490",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.