MICHAEL FANG M.D.
NPI 1619064672
Internal Medicine in Michigan City, IN

Q: What is Michael Fang's NPI number?

The NPI number for Michael Fang is 1619064672. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Q: What is Michael Fang's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Fang was last updated on January 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 09, 2006PECOS Enrolled

8733 W 400 N, MICHIGAN CITY, IN 46360(219) 803-4145(855) 502-1900 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael Fang M.d. NPPES

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

MICHAEL FANG M.D. (NPI 1619064672) is an individual internal medicine provider in Michigan City, Indiana, licensed in Indiana (01065093) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619064672

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMICHAEL FANGCredential: M.D.

Location Address8733 W 400 NMichigan City, IN 46360-9330

Mailing Address8733 W 400 NMichigan City, IN 46360-9330 · (219) 803-4145 · Fax (855) 502-1900

Phone(219) 803-4145

Fax(855) 502-1900

Sole ProprietorNo

Enumeration DateOctober 9, 2006

Last NPPES UpdateJanuary 10, 2020

✔ NPI 1619064672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 01065093

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License IN PROCESS (WI)

8733 W 400 N, Michigan City, IN 46360

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Other Identifiers 2

Medicaid200920160IN

Other000000580377IN · Anthem, Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Fang M.d. 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 46360 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%242 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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