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DR. FONG-LIANG FAN MD
NPI 1790859718
Transplant Surgery in Honolulu, HI

Active since November 20, 2006PECOS Enrolled
2226 LILIHA STREET, SUITE 402, HONOLULU, HI 96817(808) 523-0166(808) 528-4940 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 19, 2022, Feb 19, 2020 (2 updates tracked since 2020).

About Dr. Fong-liang Fan Md NPPES

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

DR. FONG-LIANG FAN MD (NPI 1790859718) is an individual transplant surgery provider in Honolulu, Hawaii, licensed in Hawaii (3280) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790859718
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDR. FONG-LIANG FANCredential: MD
Location Address2226 LILIHA STREET, SUITE 402Honolulu, HI 96817-1605
Mailing Address550 S Beretania St, Ste 403Honolulu, HI 96813-2496 · (808) 523-0166 · Fax (808) 528-4940
Phone(808) 523-0166
Fax(808) 528-4940
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2020
✔ NPI 1790859718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License✔ Licensed in HI · 3280
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 3280 (HI)
2226 LILIHA STREET, Honolulu, HI 96817
Open in Google Maps ↗

Other Identifiers 8

Other0000BDSFGMedicare
Other193072Hma New
Other04715601Alohacare
OtherD36114Kaiser Perm
Other00N0053586Hmsa
Other04715601Medicaid
Medicaid04715601HI
OtherD3280Mdx

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fong-liang 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.

Other Providers at the Same Location NPPES 5

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

DR. DAMIEN KEKANEINOA TAVARES III M.D.
Pain Medicine (Interventional Pain Medicine)
2226 LILIHA STREET, SUITE 407
HONOLULU, HI 96817
Honolulu County (808) 445-9172
DR. ALAN HS CHEUNG MD
Transplant Surgery
2226 LILIHA STREET, SUITE 402
HONOLULU, HI 96817
Honolulu County (808) 523-0166
HAWAII ENDOSCOPY CENTER LLC
Clinic/Center (Ambulatory Surgical)
2226 LILIHA STREET, SUITE 407
HONOLULU, HI 96817
Honolulu County (808) 531-5823
DR. JEREANNE RAZA DNP, APRN, FNP-C
Nurse Practitioner (Family)
2226 LILIHA STREET, SUITE 308
HONOLULU, HI 96817
Honolulu County (808) 892-4361
DR. WHITNEY M L LIMM MD
Transplant Surgery
2226 LILIHA STREET, SUITE 402
HONOLULU, HI 96817
Honolulu County (808) 523-0166

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 Fong-liang Fan's NPI number?

The NPI number for Fong-liang Fan is 1790859718. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Fong-liang Fan located?

Fong-liang Fan practices at 2226 Liliha Street Suite 402, Honolulu, HI 96817. The listed phone number is (808) 523-0166.

What is Fong-liang Fan's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Fong-liang Fan enrolled in Medicare?

Yes. Fong-liang Fan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fong-liang Fan was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.