WILEY FAN DO – NPI #1811939572
Internal Medicine

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Health Care Provider Taxonomy Code for Internal Medicine

WILEY FAN is a physician located in FARMINGTON HILLS, MI. NPPES has assigned the NPI number 1811939572 to WILEY FAN on June 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease

The NPI profile was previously updated about 6 years ago on Nov 17, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILEY FAN below.

NPI Profile for
WILEY FAN

NPI Number
1811939572
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WILEY FAN
Credentials
DO
Primary location
28080 GRAND RIVER AVE STE 306N
FARMINGTON HILLS, MI 48336-5966
Phone: (947) 521-8314 Fax: (248) 478-8864
Mailing address
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 17, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WILEY FAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAMI4036071
OTHERBLUE CROSSMI5634383
OTHERBLUE CROSSMIP49606
OTHERCARE CHOICESMI126488
MEDICAIDMI2869034
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0200X
- Internal Medicine / Infectious Disease (Primary)		 MI 5101007795

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
28080 GRAND RIVER AVE STE 306N,
FARMINGTON HILLS, MI 77025-1669

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 1979
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
WILEY FAN is affiliated with the following medical group(s):
  • HOSPITAL
    • BEAUMONT HOSPITAL - FARMINGTON HILLS
      28050 GRAND RIVER AVENUE
      FARMINGTON HILLS, MI 48336

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.