Active NPI
Rong Fan, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 27457
- Practice address
- 7455 W Washington Ave Ste 301
Las Vegas, NV 89128-4340 - Phone
- (702) 732-3441
- NPI assigned
- May 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01065131A | IN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301510501 | MI | |
| Pediatric Pathology Physician | 207ZP0213X | 313196-01 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 27457 | NV | Primary |
Addresses
Primary practice location
7455 W Washington Ave Ste 301
Las Vegas, NV 89128-4340
Mailing address
1355 River Bend Dr
Dallas, TX 75247-4915
Phone (027) 732-3441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, NJ, MI, NV, AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7455 W Washington Ave
Las Vegas, NV 89128-4337
Phone (702) 732-3441
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 313196-01 | NY | MD | Pediatric Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Laboratory Medicine Consultants LTD | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Austin Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Laboratory Medicine Consultants LTD | Current | Accepting new patients |
Locations
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
File 749203
Los Angeles, CA 90074
7216 Solutions Ctr
Chicago, IL 60677
350 W 11th St
Rm 6016
Indianapolis, IN 46202
Phone (317) 491-6000
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
3601 W 13 Mile Rd
Royal Oak, MI 48073
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441
7455 W Washington Ave
Las Vegas, NV 89128
Phone (702) 449-4192
7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
12221 N Mopac Expy
Fl 4
Austin, TX 78758
Phone (512) 901-1215
3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818
2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011
3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000
1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
Organizations & group practices 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Las Vegas, NV
- NPI 1083675169
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1538172028
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sunrise Hospital and Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1861439952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1669648408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 RIVER BEND DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474915",
"telephone_number": "027-732-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE STE 301",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284340",
"telephone_number": "702-732-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "RONG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-01",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "01065131A",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301510501",
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "NY",
"license": "313196-01",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NV",
"license": "27457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.