DI FAN (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1023245693

DI FAN (M.D.) is a healthcare provider. based in Northbrook, Illinois. specializing in THORACIC SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 036123598 (IL). The NPI Number for DI FAN (M.D.) is 1023245693

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DI FAN (M.D.)
NPI
1023245693
Phone
(847) 593-8460
Address
304 WAINWRIGHT DR
Enumeration Date
22 June 2009
Last Update Date
30 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739068060
Graduation Year
1983 (43 years ago)
PAC ID
3971657180
Group Practice PAC ID
1153572383
Professional Enrollment ID
I20090821000159
Address ID
IL606382503CH6415XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

241 THORACIC SURGERY in IL

Provider Addresses for DI FAN (M.D.)

  • 304, Wainwright Drive, Northfield Township, Cook County, Illinois, 60062, United States

    NORTHBROOK, IL 600621900

    Phone: (847) 593-8460

    Fax: (224) 235-4652

    Type: Mailing

  • 800 BIESTERFIELD RD STE 201B

    ELK GROVE VILLAGE, IL 600073372

    Phone: (847) 593-8460

    Fax: (224) 235-4652

    Type: Location

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: 2009-08-21

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
I20090821000159IThoracic SurgeryILTBD

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
93970Ultrasound study of arm or leg veins with compression and maneuvers174139$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers12549$0
99203New patient office or other outpatient visit, 30-44 minutes9494$0
99213Established patient office or other outpatient visit, 20-29 minutes8966$0
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance5933$0
View full utilization report →

Insurance plans in this area (ZIP 60062)

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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: 1153572383View full group profile
NameSpecialtyState
Vascular Surgery, Thoracic SurgeryIN
General SurgeryIL

Reviews

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Frequently asked questions

What is DI FAN (M.D.)'s NPI number?
DI FAN (M.D.)'s NPI is 1023245693 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DI FAN (M.D.)?
For scheduling context, DI FAN (M.D.) is shown as active in the registry.
What expertise is attributed to DI FAN (M.D.)?
DI FAN (M.D.)'s specialty line reads Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DI FAN (M.D.) registered?
Use Northbrook, Illinois as the headline location for DI FAN (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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