YAO-SHAN FAN (MD, PHD) – Clinical Pathology/Laboratory Medicine Physician, NPI 1326098500

YAO-SHAN FAN (MD, PHD) is a healthcare provider. based in Miami, Florida. specializing in PATHOLOGY. They hold the professional credentials MD, PHD. They hold a License No. MFC1592 (FL). The NPI Number for YAO-SHAN FAN (MD, PHD) is 1326098500

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
YAO-SHAN FAN (MD, PHD)
NPI
1326098500
Phone
(305) 243-7688
Address
1601 NW 12th Ave
Enumeration Date
11 May 2006
Last Update Date
24 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9049532000
Graduation Year
1978 (48 years ago)
PAC ID
3577538958
Group Practice PAC ID
5698689297
Professional Enrollment ID
I20040830000435
Address ID
FL322241865JA4500XSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

960 PATHOLOGY in FL

Provider Addresses for YAO-SHAN FAN (MD, PHD)

  • 1601 NW 12th Ave

    BOX 016960 M851

    Miami, FL 331361005

    Phone: (305) 243-7688

    Fax: (305) 243-8470

    Type: Location

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Type: Location

  • 1601, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    BOX 016960 M851

    MIAMI, FL 331361005

    Phone: (305) 243-7688

    Fax: (305) 243-8470

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040830000435IPathologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88377Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure1212$0
View full utilization report →

Insurance plans in this area (ZIP 33136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698689297View full group profile
NameSpecialtyState
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
Orthopedic SurgeryFL
Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Physician AssistantFL
Nurse PractitionerFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

How is YAO-SHAN FAN (MD, PHD) identified in CMS data?
CMS-hosted NPPES data lists YAO-SHAN FAN (MD, PHD) with NPI 1326098500.
Can I rely on YAO-SHAN FAN (MD, PHD) being an active provider?
As of the registry snapshot, YAO-SHAN FAN (MD, PHD) is marked active.
What is YAO-SHAN FAN (MD, PHD)'s specialty?
The listing groups YAO-SHAN FAN (MD, PHD) with Clinical Pathology/Laboratory Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is YAO-SHAN FAN (MD, PHD) based?
YAO-SHAN FAN (MD, PHD) is tied to Miami, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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