Individual provider Active NPI

William J Fanning, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbus, OH
National Provider Identifier
1861467102
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35046189 Issued in OH
Practice address
340 E Town St
Suite 8-500
Columbus, OH 43215-4600
Phone
(614) 566-7370
Fax
(614) 533-0187
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35046189 OH Primary

Addresses

Primary practice location

340 E Town St
Suite 8-500
Columbus, OH 43215-4600

Mailing address

340 E Town St
Suite 8-500
Columbus, OH 43215-4600
Phone (614) 566-7370

Other identifiers 1

IdentifierTypeStateIssuer
0539288MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wfanning22983@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050405000030 OH Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 9234186057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders Two LLCGroup PAC ID 6608828447, 222 clinicians

Practice addresses (Care Compare)

85 McNaughten Rd
Suite 110
Columbus, OH 43213-5111
Phone (614) 627-2000

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jun 30, 2015 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 30, 2015 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

340 E Town St
Ste 8500
Columbus, OH 43215
Phone (614) 566-7370

85 McNaughten Rd
Ste 110
Columbus, OH 43213
Phone (614) 751-8846

Dept L3652
Columbus, OH 43260

285 E State St
Ste 400
Columbus, OH 43215
Phone (614) 566-7370

Interoperability endpoints

  • Direct secure messaging: william.fanning@mmhs.medicity.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1861467102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E TOWN ST",
            "address_2": "SUITE 8-500",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154600",
            "telephone_number": "614-566-7370",
            "fax_number": "614-533-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E TOWN ST",
            "address_2": "SUITE 8-500",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154600",
            "telephone_number": "614-566-7370",
            "fax_number": "614-533-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35046189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0539288",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wfanning22983@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "285 E State St",
            "address_2": "Ste 400",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.