Jennifer K. Fan, MD
NPI 1659360063ActiveIndividual· Radiology, Diagnostic Radiology· Shelton, CT
Radiology, Diagnostic Radiology (MD) in Shelton, Connecticut, trained at Northwestern University Feinberg Medical School (class of 1996). Medicare paid $154,843 for services to 769 patients in 2024.
Overview
| NPI | 1659360063 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 18, 2005 |
| Last updated in NPPES | Sep 7, 2023 |
| Certified by provider | Sep 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 039357 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 769 |
|---|---|
| Services billed | 1,661 across 12 procedure codes |
| Paid by Medicare | $154,843 |
Education and affiliations
| Medical school | Northwestern University Feinberg Medical School |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Advanced Radiology Consultants LLCFairfield, CT · 33 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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