ELAINE M. FAN MD
NPI 1598297178
Pediatrics - Pediatric Hematology-Oncology in South Bend, IN

Q: What is Elaine Fan's NPI number?

The NPI number for Elaine Fan is 1598297178. It was assigned to this individual provider in the NPPES registry on April 1, 2017. The provider is also known as Mengchen Fan.

Q: What is Elaine Fan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Elaine Fan was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 01, 2017PECOS Enrolled

615 N MICHIGAN ST 4TH FL, SOUTH BEND, IN 46601(574) 647-6892(574) 647-6895 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 22, 2026, Jun 5, 2020, Apr 1, 2017 (3 updates tracked since 2017).

On this page

About Elaine M. Fan Md NPPES

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

ELAINE M. FAN MD (NPI 1598297178) is an individual pediatric hematology-oncology provider in South Bend, Indiana, licensed in Indiana (01099049A) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1598297178

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameELAINE M. FANCredential: MD

Location Address615 N MICHIGAN ST 4TH FLSouth Bend, IN 46601-1033

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3725

Phone(574) 647-6892

Fax(574) 647-6895

Sole ProprietorNo

Enumeration DateApril 1, 2017

Last NPPES UpdateApril 22, 20263 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1598297178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in IN · 01099049A✔ Licensed in UT · 11731052-1205

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

615 N MICHIGAN ST 4TH FL, South Bend, IN 46601

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Other Names 1

Former Name (1)Mengchen Fan

Secondary Practice Location 1

Location 1100 N Mario Capecchi DrSalt Lake City, UT 84113-1103 · Phone (801) 662-4700

Other Identifiers 1

Medicaid300128923IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elaine M. Fan 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.

Medicare Billing Reassignment

Medicare enrollment records show Elaine Fan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Kansas School Of Medicine Wichita Medical Practice Assoc

645 mi

Internal Medicine

1001 N MINNEAPOLIS
Wichita, KS 67214

Reassigned Medicare billing, Kansas enrollment
130 clinicians in this Medicare group

NPI 1639143712 (316) 293-2620

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

BRIANA LONG

Nurse Practitioner (Family)

615 N MICHIGAN ST 4TH FL
SOUTH BEND, IN 46601

St. Joseph County (574) 647-6892

STACY L SNYDER MD

Pediatrics (Pediatric Hematology-Oncology)

615 N MICHIGAN ST 4TH FL
SOUTH BEND, IN 46601

St. Joseph County (574) 647-6892

BEACON MEDICAL GROUP, INC.

Pediatrics (Pediatric Hematology-Oncology)

615 N MICHIGAN ST 4TH FL
SOUTH BEND, IN 46601

St. Joseph County (574) 647-6892

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 Elaine Fan's NPI number?

The NPI number for Elaine Fan is 1598297178. It was assigned to this individual provider in the NPPES registry on April 1, 2017. The provider is also known as Mengchen Fan.

Where is Elaine Fan located?

Elaine Fan practices at 615 N Michigan St 4th Fl, South Bend, IN 46601. The listed phone number is (574) 647-6892.

What is Elaine Fan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Elaine Fan enrolled in Medicare?

Yes. Elaine Fan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elaine Fan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Fan reassigns Medicare benefits to University Of Kansas School Of Medicine Wichita Medical Practice Assoc (Wichita, KS). The 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 Elaine Fan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elaine Fan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter from Sunflower Health Plan and 3 other insurers list Elaine Fan 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.

When was this NPI record last updated?

The NPPES record for Elaine Fan was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.