ELLEN FAN MD
NPI 1871797134
Family Medicine in Indianapolis, IN

Q: What is Ellen Fan's NPI number?

The NPI number for Ellen Fan is 1871797134. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Q: What is Ellen Fan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Fan was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment

91.49/100

CMS Quality Rating

6002 E 38TH ST, INDIANAPOLIS, IN 46226(317) 880-6002(317) 880-0417 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, Dec 12, 2024, Dec 29, 2020 (3 updates tracked since 2020).

On this page

About Ellen Fan Md NPPES

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

ELLEN FAN MD (NPI 1871797134) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01063338A) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1871797134

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELLEN FANCredential: MD

Location Address6002 E 38TH STIndianapolis, IN 46226-5614

Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939

Phone(317) 880-6002

Fax(317) 880-0417

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 2004

Enumeration DateJune 12, 2007

Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1871797134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01063338A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6002 E 38TH ST, Indianapolis, IN 46226

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Secondary Practice Location 1

Location 13840 N Sherman DrIndianapolis, IN 46226-4462 · Phone (317) 541-3400 · Fax (317) 541-3444

Other Identifiers 2

Medicaid200876690IN

Other000000541927IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Ellen 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 ID2062508260

PECOS Enrollment IDI20071019000080

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

63 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150024

Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46226 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

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.

91.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

98.84

Promoting Interoperability

Improvement Activities

Cost

46.2

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers43 claims77 services$4.14 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers14 claims14 services$0.64 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims1,320 services$0.07 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers18 claims18 services$133.46 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier11 claims11 services$21.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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