Kenneth Chen Fan, M.D., M.B.A.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

T7917 Issued in TX

Practice address

4460 Bissonnet St Ste 200
Bellaire, TX 77401-3218

Phone

(713) 524-3434

Fax

(713) 524-3220

NPI assigned

May 31, 2016

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Ophthalmology

Education

Boston University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Consultants of Houston PLLCGroup PAC ID 6103841820, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Merit-based Incentive Payment System (MIPS)

Final score

99.93 of 100Reported as group

Quality

99.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kfan@houstonretina.intellechartdirect.net

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.

• Retina Consultants of Houston PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Bellaire, TX
  • NPI 1902975352
  Medicare reassignment Care Compare group NPD
• Retina Consultants of Houston PLLC

  dba Retina Consultants of Texas

  • Retina Specialist (Ophthalmology) Physician
  • Beaumont, TX
  • NPI 1720758709
  NPD
• Retina Consultants of Houston PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Livingston, TX
  • NPI 1619135647
  NPD (past)
• Retina Consultants of Houston PLLC

  • Ophthalmology Physician
  • Pearland, TX
  • NPI 1780294629
  NPD (past)

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

• The Methodist Hospital

  dba Houston Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  Care Compare affiliation

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1780032839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 BISSONNET ST STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013218",
            "telephone_number": "713-524-3434",
            "fax_number": "713-524-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 BISSONNET ST STE 200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013218",
            "telephone_number": "713-524-3434",
            "fax_number": "713-524-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "KENNETH",
        "middle_name": "CHEN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME145099",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "T7917",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME145099",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "T7917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elie E Ezzie, DDS
• Victoria Gacad Faires, FNP-C
• Faithful Hands Services
• Nessette Falu, RPA-C
• Family Mental Health Center, Inc.
• Ting Fang-Suarez, M.D.
• Sy-Ping Mimi Fang, LAC
• Daniel Farishta
• Chanel Fasfassian
• Michelle Lee Fassell, IBCLC

• Ophthalmology Physician in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.

Verify at the official NPI Registry.