KIMBERLY FAN MD
NPI 1609256171
Pediatrics - Pediatric Critical Care Medicine in Houston, TX

Q: What is Kimberly Fan's NPI number?

The NPI number for Kimberly Fan is 1609256171. It was assigned to this individual provider in the NPPES registry on May 31, 2015.

Q: What is Kimberly Fan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Fan was last updated on October 31, 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 May 31, 2015PECOS Enrolled

1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2022, Jun 30, 2021, Sep 23, 2016 (3 updates tracked since 2016).

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About Kimberly Fan Md NPPES

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

KIMBERLY FAN MD (NPI 1609256171) is an individual pediatric critical care medicine provider in Houston, Texas, licensed in Texas (T9104) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609256171

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameKIMBERLY FANCredential: MD

Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000

Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991

Phone(713) 792-6161

Sole ProprietorNo

Enumeration DateMay 31, 2015

Last NPPES UpdateOctober 31, 20223 updates tracked since enumeration

NPPES CertifiedOctober 31, 2022

✔ NPI 1609256171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in TX · T9104

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

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

1515 HOLCOMBE BLVD, Houston, TX 77030

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly 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 Reassignments

Medicare enrollment records show Kimberly Fan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Referral Service

Same address

Multi-Specialty

1515 HOLCOMBE BLVD
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,675 clinicians in this Medicare group

NPI 1073574810 (713) 792-6161

Texas Children's Physician Group

0.2 mi

Pediatrics

6621 FANNIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Childrens Physician Group
2,498 clinicians in this Medicare group

NPI 1861675506 (832) 824-1000

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 20

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

DR. MERRY CHEN MD

Psychiatry & Neurology (Neurology)

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

AMEENA BAGREE MALHOTRA M.D.

Internal Medicine (Nephrology)

1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030

Harris County (713) 792-6161

SOLANGE ERLYN COX MD

Surgery

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-2360

DR. BRYAN KEITH GUILLORY M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

JANUARY Y TSAI MD

Anesthesiology

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

DR. SUNYOUNG LEE MD

Internal Medicine (Medical Oncology)

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

MRS. RACHEL KRAMER FUTRELL PA-C

Physician Assistant

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

MEGAN J TANNER NP-C

Nurse Practitioner

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Harris County (713) 792-6161

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 Kimberly Fan's NPI number?

The NPI number for Kimberly Fan is 1609256171. It was assigned to this individual provider in the NPPES registry on May 31, 2015.

Where is Kimberly Fan located?

Kimberly Fan practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Kimberly Fan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kimberly Fan enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Fan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fan reassigns Medicare benefits to 2 organizations: Physicians Referral Service (Houston, TX) and Texas Children's Physician Group (Houston, TX). 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 Kimberly Fan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Fan was last updated on October 31, 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.