1. Home
  2. Directory
  3. New York
  4. Buffalo
  5. Obstetrics Gynecology
  6. NPI Profile

KENNETH FAN DO
NPI 1801206750
Obstetrics & Gynecology in Buffalo, NY

Active since April 30, 2014PECOS EnrolledAccepts Medicare Assignment
219 BRYANT ST, UNIVERSITY AT BUFFALO DEPARTMENT OF OB/GYN, BUFFALO, NY 14222(716) 878-7750(716) 888-3833 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Fan Do NPPES

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

KENNETH FAN DO (NPI 1801206750) is an individual obstetrics & gynecology provider in Buffalo, New York, licensed in New York (294548) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2014).

NPPES Registry Identity

NPI1801206750
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKENNETH FANCredential: DO
Location Address219 BRYANT ST, UNIVERSITY AT BUFFALO DEPARTMENT OF OB/GYNBuffalo, NY 14222
Mailing Address405 Admirals WalkBuffalo, NY 14202-4333 · (626) 841-8082
Phone(716) 878-7750
Fax(716) 888-3833
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2014
Enumeration DateApril 30, 2014
Last NPPES UpdateJune 28, 2018
✔ NPI 1801206750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 294548
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
219 BRYANT ST, Buffalo, NY 14222
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Fan Do 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 ID2466702840
PECOS Enrollment IDI20220413001948
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14222 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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 20

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

DR. LAUREN DAVIDSON D.O.
Pediatrics (Neonatal-Perinatal Medicine)
219 BRYANT ST
BUFFALO, NY 14222
Erie County (716) 878-7355
ROBERT HEHIR LCSW
Social Worker
219 BRYANT ST
BUFFALO, NY 14222
Erie County (716) 833-9487
DR. TOM MAZUR PSY.D.
Psychologist (Clinical)
219 BRYANT ST, BUFFALO
BUFFALO, NY 14222
Erie County (716) 878-7093
CHARENE WOOD PNP
Registered Nurse
219 BRYANT ST, EMERGENCY MEDICINE
BUFFALO, NY 14222
Erie County (716) 878-7109
DR. PHILOMENA M BEHAR M.D.
Otolaryngology (Pediatric Otolaryngology)
219 BRYANT ST
BUFFALO, NY 14222
Erie County (716) 878-7569
MIRIAM SUE ERNST CRNA
Nurse Anesthetist, Certified Registered
219 BRYANT ST, CGF ANESTHESIA ASSOCIATES PC
BUFFALO, NY 14222
Erie County (716) 878-7444
MRS. GAYLE JENNIFER ANN ZULEWSKI DALTON CPNP
Nurse Practitioner (Pediatrics)
219 BRYANT ST
BUFFALO, NY 14222
Erie County (716) 878-7571
MRS. NANCY R WALSH NNP
Nurse Practitioner (Neonatal, Critical Care)
219 BRYANT ST
BUFFALO, NY 14222
Erie County (716) 878-7481

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 Kenneth Fan's NPI number?

The NPI number for Kenneth Fan is 1801206750. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Kenneth Fan located?

Kenneth Fan practices at 219 Bryant St University At Buffalo Department Of Ob/Gyn, Buffalo, NY 14222. The listed phone number is (716) 878-7750.

What is Kenneth Fan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kenneth Fan enrolled in Medicare?

Yes. Kenneth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Fan was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.