MELISSA JIAYU FANG MD
NPI 1376121715
Radiology - Diagnostic Radiology in Maywood, IL

Q: What is Melissa Fang's NPI number?

The NPI number for Melissa Fang is 1376121715. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Melissa Fang's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Fang was last updated on May 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 29, 2021PECOS Enrolled

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 327-1200 Get Directions Write a Review

NPPES record last updated: May 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2022, Apr 12, 2021, Mar 29, 2021 (3 updates tracked since 2021).

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About Melissa Jiayu Fang Md NPPES

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

MELISSA JIAYU FANG MD (NPI 1376121715) is an individual diagnostic radiology provider in Maywood, Illinois, licensed in Illinois (125079211) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376121715

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameMELISSA JIAYU FANGCredential: MD

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 327-1200

Phone(708) 327-1200

Sole ProprietorNo

Enumeration DateMarch 29, 2021

Last NPPES UpdateMay 29, 20223 updates tracked since enumeration

NPPES CertifiedMay 29, 2022

✔ NPI 1376121715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in IL · 125079211

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 1376121715 (NM)

2160 S 1ST AVE, Maywood, IL 60153

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Jiayu Fang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)