MR. AVICHAI FAGAN
NPI 1356084487
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL
About Mr. Avichai Fagan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. AVICHAI FAGAN (NPI 1356084487) is an individual student in an organized health care education/training program in Fort Lauderdale, Florida and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Fawcett Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Mr. Avichai Fagan 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 Reassignments
3Medicare enrollment records show Avichai Fagan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 1,912 clinicians in this Medicare group
Delray Beach, FL 33484
- Reassigned Medicare billing, Florida enrollment
- 527 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Florida enrollment
- 802 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Fawcett Hospital
Acute Care Hospitals · Port Charlotte, FLGood Samaritan Medical Center
Acute Care Hospitals · West Palm Beach, FLHca Florida Poinciana Hospital
Acute Care Hospitals · Kissimmee, FLOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT LAUDERDALE, FL 33316
FORT LAUDERDALE, FL 33316
FT LAUDERDALE, FL 33316
FORT LAUDERDALE, FL 33316
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 Avichai Fagan's NPI number?
The NPI number for Avichai Fagan is 1356084487. It was assigned to this individual provider in the NPPES registry on April 17, 2022.
Where is Avichai Fagan located?
Avichai Fagan practices at 1600 S Andrews Ave, Fort Lauderdale, FL 33316. The listed phone number is (786) 910-3801.
What is Avichai Fagan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Avichai Fagan enrolled in Medicare?
Yes. Avichai Fagan 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 organizations bill Medicare for Avichai Fagan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Avichai Fagan reassigns Medicare benefits to 3 organizations: Emergency Medicine Services Of Fl, LLC (Aventura, FL), Inphynet Contracting Services LLC (Delray Beach, FL) and Paragon Contracting Services LLC (Birmingham, AL). Each 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 Avichai Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Avichai Fagan accept?
Health plans from Oscar Health Maintenance Organization of Florida list Avichai Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Avichai Fagan affiliated with any hospitals?
According to CMS data, Avichai Fagan is affiliated with Hca Florida Fawcett Hospital, Good Samaritan Medical Center and Hca Florida Poinciana Hospital.
When was this NPI record last updated?
The NPPES record for Avichai Fagan was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mr. Avichai Fagan · NPI 1356084487
Student in an Organized Health Care Education/Training Program provider in Fort Lauderdale, Florida. Individual provider, active in the CMS NPPES registry since April 17, 2022.
## Identity
- **NPI:** 1356084487 (Entity type: Individual)
- **Enumerated:** April 17, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 S ANDREWS AVE, Fort Lauderdale, FL 33316-2510
- **Phone:** (786) 910-3801
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Services Of Fl, LLC (NPI 1043917180, Aventura, FL); Inphynet Contracting Services LLC (NPI 1073556767, Delray Beach, FL); Paragon Contracting Services LLC (NPI 1225071459, Birmingham, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356084487) · Data from the CMS NPPES public registry.