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
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
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.
Hospital Affiliations CMS Care Compare 2
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, 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.
Is Avichai Fagan affiliated with any hospitals?
According to CMS data, Avichai Fagan is affiliated with Hca Florida Fawcett Hospital 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 7 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
- **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.