FANG BU M.D.
NPI 1962635193
Pathology - Pediatric Pathology in Minneapolis, MN

Q: What is Fang Bu's NPI number?

The NPI number for Fang Bu is 1962635193. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Q: What is Fang Bu's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.

Q: When was this NPI record last updated?

The NPPES record for Fang Bu was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 04, 2009PECOS Enrolled

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-6711(612) 813-7721 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2020, May 25, 2020, Aug 17, 2018 and 1 more (4 updates tracked since 2018).

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About Fang Bu M.d. NPPES

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

FANG BU M.D. (NPI 1962635193) is an individual pediatric pathology provider in Minneapolis, Minnesota, licensed in Minnesota (67836) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1962635193

Entity TypeIndividualFemale

Primary Taxonomy207ZP0213X

Provider Legal NameFANG BUCredential: M.D.

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518

Phone(612) 813-6711

Fax(612) 813-7721

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateSeptember 4, 2009

Last NPPES UpdateOctober 6, 20204 updates tracked since enumeration

NPPES CertifiedOctober 6, 2020

✔ NPI 1962635193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Pediatric PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0213X

Licenses✔ Licensed in MN · 67836✔ Licensed in OH · 35.133826

Definition

A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.

Also ListedPediatricsTaxonomy 208000000X · License 35.133826 (OH), 34989 (SC), 2009013425 (MO)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MD34989 (SC)

2525 CHICAGO AVE, Minneapolis, MN 55404

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Secondary Practice Location 1

Location 1700 Childrens Dr # D000651Columbus, OH 43205 · Phone (614) 722-5315 · Fax (614) 355-1597

Other Identifiers 1

Medicaid0286662OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fang Bu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294083457

PECOS Enrollment IDI20210201002069

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

Medicare enrollment records show Fang Bu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Health Care

Same address

Anatomic Pathology & Clinical Pathology

2525 CHICAGO AVE S
Minneapolis, MN 55404

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Children's Health Care
551 clinicians in this Medicare group

NPI 1053410928 (612) 813-6280

Fairview Express Care

1.3 mi

Multi-Specialty

2312 S 6TH ST STE F105
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1053952606 (612) 273-3565

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

CATHERINE ELAINE MCNAUGHTON LICSW

Social Worker (Clinical)