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
Sex
Female
Sole proprietor
No

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.

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 C 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

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

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

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

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2014.

{
    "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": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "MI",
            "license": "4301079723",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301079723",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "2115194",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "080624000030",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WNY BSBC",
            "identifier": "000530194001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02972067",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00028479101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.