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

Active since June 07, 2006PECOS Enrolled
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: October 18, 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 and maintains 2 additional practice locations.

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
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 Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffrey J. Fanning 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jeffrey Fanning reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Questcare Hospitalists PLLC
Same address
Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
NPI 1265441620 (954) 939-5000
Pokroy Medical Group Of Nevada, Ltd.
1,080 mi
Neonatal-Perinatal Medicine
653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144
  • Reassigned Medicare billing, Nevada enrollment
  • 150 clinicians in this Medicare group
NPI 1992809412 (702) 733-0981
Medstar Medical Group II LLC
1,177 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403
Mgmc LLC
1,177 mi
Psychiatry
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 861 clinicians in this Medicare group
NPI 1316949654 (888) 896-1400

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

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 enrollment system.

Which organizations bill Medicare for Jeffrey Fanning's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Fanning reassigns Medicare benefits to 4 organizations: Questcare Hospitalists PLLC (Dallas, TX), Pokroy Medical Group Of Nevada, Ltd. (Las Vegas, NV), Medstar Medical Group II LLC (Washington, DC) and Mgmc LLC (Washington, DC). Each 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 Jeffrey Fanning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Fanning accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare 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 14 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.