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MR. JEFFREY J. FANNING MD
NPI 1962442087
Pediatrics - Pediatric Critical Care Medicine in Dallas, TX

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
7777 FOREST LN STE D569, DALLAS, TX 75230(972) 566-8340(972) 566-8338 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2025, Jun 20, 2025, Mar 9, 2020 and 1 more (4 updates tracked since 2020).

About Mr. Jeffrey J. Fanning Md NPPES

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

MR. JEFFREY J. FANNING MD (NPI 1962442087) is an individual pediatric critical care medicine provider in Dallas, Texas, licensed in Texas (N1317) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Oklahoma College Of Medicine (2003).

NPPES Registry Identity

NPI1962442087
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameMR. JEFFREY J. FANNINGCredential: MD
Location Address7777 FOREST LN STE D569Dallas, TX 75230-6903
Mailing AddressPo Box 515055Dallas, TX 75251-5055 · (972) 566-8340 · Fax (972) 566-8338
Phone(972) 566-8340
Fax(972) 566-8338
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2003
Enumeration DateJune 7, 2006
Last NPPES UpdateAugust 11, 20254 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1962442087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in TX · N1317✔ Licensed in WI · 48843✔ Licensed in IN · 01096987A
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
7777 FOREST LN STE D569, Dallas, TX 75230
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Secondary Practice Locations 2

Location 1835 S Van Buren StGreen Bay, WI 54301-3526 · Phone (920) 496-4700
Location 211115 Parkview Plaza DrFort Wayne, IN 46845-1701 · Phone (260) 266-5400 · Fax (260) 425-5715

Other Identifiers 2

Medicaid34843900WI
Medicaid204410903TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource 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

Mr. Jeffrey J. Fanning 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 ID1456355445
PECOS Enrollment IDI20250630001162
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 3

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

GOKUL K BYSANI MD
Pediatrics (Pediatric Critical Care Medicine)
7777 FOREST LN STE D569
DALLAS, TX 75230
Dallas County (972) 566-8340
PEDIATRIC PERIOPERATIVE CONSULTANTS OF N. TX., PLLC
Pediatrics (Pediatric Critical Care Medicine)
7777 FOREST LN STE D569
DALLAS, TX 75230
Dallas County (972) 566-8340
AAMER HASAN KHAN
Pediatrics (Pediatric Critical Care Medicine)
7777 FOREST LN STE D569
DALLAS, TX 75230
Dallas County (972) 566-8340

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 Jeffrey Fanning's NPI number?

The NPI number for Jeffrey Fanning is 1962442087. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Jeffrey Fanning located?

Jeffrey Fanning practices at 7777 Forest Ln Ste D569, Dallas, TX 75230. The listed phone number is (972) 566-8340.

What is Jeffrey Fanning's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jeffrey Fanning enrolled in Medicare?

Yes. Jeffrey Fanning 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.

What insurance does Jeffrey Fanning accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource and Oscar Insurance Company list Jeffrey Fanning as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Fanning was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.