KEN-SHIH FAN DO
NPI 1386389146
Family Medicine in Sanford, NC

Q: What is Ken-shih Fan's NPI number?

The NPI number for Ken-shih Fan is 1386389146. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Q: What is Ken-shih Fan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ken-shih Fan was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 04, 2022PECOS EnrolledAccepts Medicare Assignment

1125 CARTHAGE ST, SANFORD, NC 27330(919) 774-6023 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ken-shih Fan Do NPPES

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

KEN-SHIH FAN DO (NPI 1386389146) is an individual family medicine provider in Sanford, North Carolina, licensed in North Carolina (2025-02593) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Central Carolina Hospital, and maintains a secondary practice location in Meadville.

NPPES Registry Identity

NPI1386389146

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEN-SHIH FANCredential: DO

Location Address1125 CARTHAGE STSanford, NC 27330-4162

Mailing Address84 Haven Creek Rd Apt 210Pittsboro, NC 27312-1858 · (919) 327-7676

Phone(919) 774-6023

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2022

Enumeration DateMay 4, 2022

Last NPPES UpdateJuly 25, 2025

NPPES CertifiedJune 27, 2025

✔ NPI 1386389146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2025-02593

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1125 CARTHAGE ST, Sanford, NC 27330

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Secondary Practice Location 1

Location 1751 Liberty StMeadville, PA 16335-2591 · Phone (814) 333-5000

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

Ken-shih Fan Do 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 ID4789182569

PECOS Enrollment IDI20250811003163

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.

Central Carolina Hospital

Acute Care Hospitals · Sanford, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340020

Location1135 Carthage StSanford, NC 27330 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27330 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT HOWARD MCCONVILLE JR. MD

Family Medicine