FANGDA JIANG MD
NPI 1255955159
Hospitalist in Fond Du Lac, WI

Q: What is Fangda Jiang's NPI number?

The NPI number for Fangda Jiang is 1255955159. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Q: What is Fangda Jiang's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Fangda Jiang was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment

210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937(920) 907-7500 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 26, 2024, Oct 2, 2023, Jun 18, 2020 and 2 more (5 updates tracked since 2020).

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About Fangda Jiang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FANGDA JIANG MD (NPI 1255955159) is an individual hospitalist provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (84732) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1255955159

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameFANGDA JIANGCredential: MD

Location Address210 WISCONSIN AMERICAN DRFond Du Lac, WI 54937-2999

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 907-7500

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2019

Enumeration DateJune 5, 2020

Last NPPES UpdateJanuary 28, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2025

✔ NPI 1255955159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 84732

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License PT20162 (ND), 84732 (WI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT221145 (PA)

210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54937

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Secondary Practice Locations 3

Location 12550 Mosside Blvd Ste 500Monroeville, PA 15146-3514 · Phone (412) 457-1050

Location 2900 E Broadway AveBismarck, ND 58501-4520 · Phone (701) 530-7000

Location 3320 E North AvePittsburgh, PA 15212-4756 · Phone (412) 359-3541

Other Identifiers 1

Medicaid100297012WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fangda Jiang Md 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.

PECOS PAC ID749635704

PECOS Enrollment IDI20241126001885

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54937 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JEANETTE ROEHL APNP FNP

Nurse Practitioner