Individual provider Active NPI

Xinhao Cynthia Fan, MD

  • Diagnostic Neuroimaging (Radiology) Physician
  • Williamsville, NY
National Provider Identifier
1366560880
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
License
4301079723 Issued in MI
Practice address
55 Spindrift Dr
Windsong Radiology Group, P.C.
Williamsville, NY 14221-7800
Phone
(716) 631-2500
Fax
(716) 631-1249
NPI assigned
Mar 26, 2007
Last updated
Mar 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301079723 MI
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 4301079723 MI Primary

Addresses

Primary practice location

55 Spindrift Dr
Windsong Radiology Group, P.C.
Williamsville, NY 14221-7800

Mailing address

55 Spindrift Dr
Windsong Radiology Group, P.C.
Williamsville, NY 14221-7800
Phone (716) 631-2500

Other identifiers 5

IdentifierTypeStateIssuer
080624000030OtherNYFIDELIS
2115194OtherNYIHA
00028479101OtherNYUNIVERA
02972067MedicaidNY
000530194001OtherNYWNY BSBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080702000031 NY Practitioner - Diagnostic Radiology 2668563958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windsong Radiology Group P CGroup PAC ID 0749264752, 23 clinicians

Practice addresses (Care Compare)

10195 Niagara Falls Blvd
Suite 200
Niagara Falls, NY 14304-2941
Phone (716) 631-2500

3950 E Robinson Rd
W Amherst, NY 14228-2041
Phone (716) 631-2500

4893 Transit Rd
Depew, NY 14043-4698
Phone (716) 631-2500

4925 Main St
Amherst, NY 14226-4000
Phone (716) 839-3333

55 Spindrift Dr
Williamsville, NY 14221-7800
Phone (716) 631-2500

Merit-based Incentive Payment System (MIPS)

Final score
82.33 of 100Reported as group
Quality
80
Improvement activities
40
Cost
77.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301079723MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Windsong Radiology Group, P C CurrentSince Jul 1, 2008 Accepting new patients
Frontier Surgical Associates, LLP PastSince May 15, 2017 Accepting new patients

Locations

55 Spindrift Dr
Williamsville, NY 14221
Phone (716) 447-6310

55 Spindrift Dr
Ste 220
Williamsville, NY 14221
Phone (716) 626-6300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1366560880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SPINDRIFT DR",
            "address_2": "WINDSONG RADIOLOGY GROUP, P.C.",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217800",
            "telephone_number": "716-631-2500",
            "fax_number": "716-631-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPINDRIFT DR",
            "address_2": "WINDSONG RADIOLOGY GROUP, P.C.",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217800",
            "telephone_number": "716-631-2500",
            "fax_number": "716-631-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "XINHAO",
        "middle_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301079723",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "MI",
            "license": "4301079723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "080624000030",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "2115194",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00028479101",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02972067",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WNY BSBC",
            "identifier": "000530194001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.