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LIFAN FAN MD
NPI 1639810567
Emergency Medicine in Travis Afb, CA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
60 MDG/SGGE, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535(707) 423-3825 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lifan Fan Md NPPES

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

LIFAN FAN MD (NPI 1639810567) is an individual emergency medicine provider in Travis Afb, California, licensed in New York (326931) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2022).

NPPES Registry Identity

NPI1639810567
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameLIFAN FANCredential: MD
Location Address60 MDG/SGGE, 101 BODIN CIRCLETravis Afb, CA 94535-1809
Mailing Address60 Mdg/sgge, 101 Bodin CircleTravis Afb, CA 94535-1809
Phone(707) 423-3825
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1639810567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 326931
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
60 MDG/SGGE, Travis Afb, CA 94535
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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 and accepts Medicare assignment

Lifan Fan Md 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 ID8325517816
PECOS Enrollment IDI20260513004391
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 Lifan Fan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Woodland Emergency Physicians Medical Group Inc
28 mi
Emergency Medicine
1325 COTTONWOOD ST
Woodland, CA 95695
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1881868164 (855) 687-0618

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

Other Providers at the Same Location NPPES 4

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

CYDNEY ELIZABETH MIDDLETON MD
Emergency Medicine
60 MDG/SGGE, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-3825
JESSE WEBB MD
Emergency Medicine
60 MDG/SGGE, 101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3825
DR. HOANVU NGOC NGUYEN M.D.
Emergency Medicine
60 MDG/SGGE, 101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3825
WILLIAM KEN MCCALLUM MD
Emergency Medicine
60 MDG/SGGE, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-3825

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 Lifan Fan's NPI number?

The NPI number for Lifan Fan is 1639810567. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Lifan Fan located?

Lifan Fan practices at 60 Mdg/Sgge 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 423-3825.

What is Lifan Fan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lifan Fan enrolled in Medicare?

Yes. Lifan Fan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lifan Fan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lifan Fan reassigns Medicare benefits to Woodland Emergency Physicians Medical Group Inc (Woodland, CA). 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 Lifan 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 Lifan Fan was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.