KENNETH L FAN M.D.
NPI 1144586355
Plastic Surgery in Washington, DC
About Kenneth L Fan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH L FAN M.D. (NPI 1144586355) is an individual plastic surgery provider in Washington, District Of Columbia, licensed in District Of Columbia (MD045855) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth L Fan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Fan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20007
- Reassigned Medicare billing, District of Columbia enrollment
- 3,530 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASHINGTON, DC 20007
WASHINGTON, DC 20007
WASHINGTON, DC 20007
WASHINGTON, DC 20007
WASHINGTON, DC 20007
WASHINGTON, DC 20007
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Fan's NPI number?
The NPI number for Kenneth Fan is 1144586355. It was assigned to this individual provider in the NPPES registry on April 2, 2012.
Where is Kenneth Fan located?
Kenneth Fan practices at 3800 Reservoir Rd NW Department Of Plastic Surgery, Washington, DC 20007. The listed phone number is (202) 444-1233.
What is Kenneth Fan's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Kenneth Fan enrolled in Medicare?
Yes. Kenneth Fan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kenneth Fan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Fan reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Fan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Fan was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenneth L Fan, M.D. · NPI 1144586355
Plastic Surgery physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since April 2, 2012.
## Identity
- **NPI:** 1144586355 (Entity type: Individual)
- **Enumerated:** April 2, 2012
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** MD045855 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3800 RESERVOIR RD NW, DEPARTMENT OF PLASTIC SURGERY, Washington, DC 20007
- **Phone:** (202) 444-1233
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medstar Medical Group II LLC (NPI 1205562816, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Miami, Lm Miller School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** September 6, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1144586355) · Data from the CMS NPPES public registry.