Active NPI
Fang-Yun Gan, M.D.
- Diagnostic Radiology Physician
- Owings Mills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME114540
- Practice address
- 21 Crossroads Dr
Ste 100
Owings Mills, MD 21117-5441 - Phone
- (410) 356-8186
- Fax
- (410) 356-4180
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME114540 | FL | Primary |
| Nuclear Medicine Physician | 207U00000X | D0061235 | MD | |
| Nuclear Medicine Physician | 207U00000X | ME114540 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | D0061235 | MD |
Addresses
Primary practice location
21 Crossroads Dr
Ste 100
Owings Mills, MD 21117-5441
Mailing address
10373A Reisterstown Rd
Owings Mills, MD 21117-3617
Phone (410) 356-8186
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J062 | Other | MD | B/C B/S |
| KA80 | Other | MD | B/C B/S |
| 2849 | Other | DC | B/C B/S |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550
4097 Seadragon Bluff
Spring Hill, FL 34609-0529
Phone (904) 399-5550
Hospital & facility affiliations
- Sarasota Memorial Hospital
- Sacred Heart Hospital
- Sarasota Memorial Hospital - Venice
- Ascension Sacred Heart Bay
- Tampa General Hospital Brooksville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0061235 | MD | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Nuclear Medicine | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc. | Current | Accepting new patients | |
| American Radiology Associates, P.a. | Nuclear Medicine | Past | Accepting new patients |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients | |
| American Radiology Associates, P.a. | Nuclear Medicine | Past | Accepting new patients |
Locations
2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303
8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834
250 N Wickham Rd
#M
Melbourne, FL 32935
Phone (321) 637-2600
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388
2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822
4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769
2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209
Networks
- Freedom Health HMO Network
Interoperability endpoints
- fgan177649@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 12
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.
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- Panama City, FL
- NPI 1225096936
-
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1235197930
-
- Urology Physician
- Cocoa, FL
- NPI 1104367630
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Diagnostic Radiology Physician
- Spring Hill, FL
- NPI 1669267134
-
- Diagnostic Radiology Physician
- Wesley Chapel, FL
- NPI 1891955860
-
- Diagnostic Radiology Physician
- Prince Frederick, MD
- NPI 1629235312
Nuclear Medicine
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780660217
Nuclear Medicine
-
- Family Medicine Physician
- Alhambra, CA
- NPI 1306058565
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1063294197
-
- General Acute Care Hospital
- Spring Hill, FL
- NPI 1275305013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1891756052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10373A REISTERSTOWN RD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173617",
"telephone_number": "410-356-8186",
"fax_number": "410-356-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CROSSROADS DR",
"address_2": "STE 100",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175441",
"telephone_number": "410-356-8186",
"fax_number": "410-356-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAN",
"first_name": "FANG-YUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2026-07-13",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME114540",
"primary": true
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "MD",
"license": "D0061235",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "FL",
"license": "ME114540",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0061235",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C B/S",
"identifier": "J062",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C B/S",
"identifier": "KA80",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C B/S",
"identifier": "2849",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.