Individual provider Active NPI

Iain Fan, DO

  • Diagnostic Radiology Physician
  • Hellertown, PA
National Provider Identifier
1487760351
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS009864L Issued in PA
Practice address
2620 Easton Rd
Hellertown, PA 18055-3312
Phone
(570) 357-6163
NPI assigned
Aug 22, 2006
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 202243 NY
Diagnostic Radiology Physician 2085R0202X 20224301 NY
Diagnostic Radiology Physician 2085R0202X OS009864L PA Primary

Addresses

Primary practice location

2620 Easton Rd
Hellertown, PA 18055-3312

Mailing address

2620 Easton Rd
Hellertown, PA 18055-3312
Phone (570) 357-6163

Other practice location 1

2041 Georgia Ave NW # 1R8
Washington, DC 20060-3312
Phone (202) 865-3610

Other identifiers 1

IdentifierTypeStateIssuer
1697024MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL, GA, NY, MD, DC6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20050622000711 PA Practitioner - Diagnostic Radiology 8325083108 Reassigns benefits to 2 organizations
I20070627000127 FL Practitioner - Diagnostic Radiology 8325083108 Reassigns benefits to 1 organization
I20080128000756 GA Practitioner - Diagnostic Radiology 8325083108 Reassigns benefits to 1 organization
I20220303001037 NY Practitioner - Diagnostic Radiology 8325083108 Reassigns benefits to 2 organizations
I20230214002156 MD Practitioner - Diagnostic Radiology 8325083108 Reassigns benefits to 1 organization
I20230809002617 DC Practitioner - Diagnostic Radiology 8325083108 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Howard UniversityGroup PAC ID 0941109565, 182 clinicians
Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians
Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians

Practice addresses (Care Compare)

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

1628 Watterson CT
Upper Saint Clair, PA 15241-3149
Phone (904) 399-5550

2101 Medical Park Dr
Suite 305
Silver Spring, MD 20902-4053
Phone (301) 754-0833

2401 W Belvedere Ave
LBH Medical Group Teleradiology
Baltimore, MD 21215-5216
Phone (410) 601-9000

2620 Easton Rd
Hellertown, PA 18055-3312
Phone (586) 464-0731

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6601

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6074

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202243NYMDDiagnostic Radiology Physician
20224301NYMDDiagnostic Radiology Physician
OS009864LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard University Diagnostic Radiology CurrentSince May 15, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Dec 12, 2022 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
TJH Medical Services, P.C. CurrentSince Mar 13, 2024 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Jul 12, 2025 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Dec 30, 2023 Accepting new patients
Jamaica Hospital CurrentSince Apr 1, 2022 Accepting new patients
Professional Services of Holy Cross CurrentSince Jun 28, 2023 Accepting new patients
Professional Services of Holy Cross CurrentSince Jun 28, 2023 Accepting new patients
Donalsonville Hospital Inc CurrentSince Aug 20, 2011 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Dec 12, 2022 Accepting new patients
Jamaica Hospital CurrentSince Apr 1, 2022 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Jan 12, 2023 Accepting new patients
Blackwell Physicians, LLC Diagnostic Radiology CurrentSince Jul 12, 2025 Accepting new patients
Radiology of MSMC, LLC Diagnostic Radiology Past Accepting new patients
M Radiological Associates, PC Past Accepting new patients
Sheridan Radiology Services of West Florida, Inc. Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Radiology of MSMC, LLC Diagnostic Radiology Past Accepting new patients
Metroamerican Radiology Consultants P a Diagnostic Radiology Past Accepting new patients
Pathology Associates of NE PA LTD PastSince May 2, 2016 Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology PastSince Apr 21, 2024 Accepting new patients
Radiology of MSMC, LLC Diagnostic Radiology Past Accepting new patients
Radiology of MSMC, LLC Diagnostic Radiology Past Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients
Team Physicians, PC Diagnostic Radiology Past Accepting new patients
Mercy Imaging Associates, PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 35)

2041 Georgia Ave NW
#1R8
Washington, DC 20060
Phone (202) 865-3610

2339 Gulf To Bay Blvd
Clearwater, FL 33765
Phone (727) 588-5812

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

2401 W Belvedere Ave
Baltimore, MD 21215

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

19731 Germantown Rd
Ste 102
Germantown, MD 20874
Phone (301) 444-8700

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980

21003 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-0411

17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170

13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ifan1126517@direct.hfhs.org
  • Direct secure messaging: ifan427779@direct.llu.edu

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1487760351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 EASTON RD",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180553312",
            "telephone_number": "570-357-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 EASTON RD",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180553312",
            "telephone_number": "570-357-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Georgia Ave NW # 1R8",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200603312",
            "country_code": "US",
            "telephone_number": "202-865-3610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAN",
        "first_name": "IAIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "202243",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "20224301",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS009864L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1697024",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hellertown, PA

Sources for this page

Verify at the official NPI Registry.