Active NPI
Nacide Ercan-Fang, MD
- Endocrinology, Diabetes & Metabolism Physician
- Minneapolis, MN
National Provider Identifier
1376651786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 41467
- Practice address
- MPLS VA Medical Center One Veterans Drive
111G Endocrine/Metabolic
Minneapolis, MN 55417 - Phone
- (612) 467-4424
- Fax
- (612) 725-2273
- NPI assigned
- Aug 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 41467 | MN | Primary |
Addresses
Primary practice location
MPLS VA Medical Center One Veterans Drive
111G Endocrine/Metabolic
Minneapolis, MN 55417
Mailing address
MPLS VA Medical Center One Veterans Drive
111G Endocrine/Metabolic
Minneapolis, MN 55417
Phone (612) 467-4424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170913002599 | MN | Order and Referring Only - Endocrinology | 4183807472 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41467 | MN | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376651786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MPLS VA MEDICAL CENTER ONE VETERANS DRIVE",
"address_2": "111G ENDOCRINE/METABOLIC",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55417",
"telephone_number": "612-467-4424",
"fax_number": "612-725-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MPLS VA MEDICAL CENTER ONE VETERANS DRIVE",
"address_2": "111G ENDOCRINE/METABOLIC",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55417",
"telephone_number": "612-467-4424",
"fax_number": "612-725-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERCAN-FANG",
"first_name": "NACIDE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MN",
"license": "41467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.