BRENDA K. FANN (MD) – Hospitalist Physician, NPI 1356442347

BRENDA K. FANN (MD) is a healthcare provider. based in Geneva, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036100490 (IL). The NPI Number for BRENDA K. FANN (MD) is 1356442347

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA K. FANN (MD)
NPI
1356442347
Phone
(630) 933-4700
Address
300 Randall Rd
Enumeration Date
25 September 2006
Last Update Date
30 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6309334700
Graduation Year
1995 (31 years ago)
PAC ID
9335177641
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20050728000667
Address ID
IL601344200GE300XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for BRENDA K. FANN (MD)

  • 300 Randall Rd

    Geneva, IL 601344200

    Phone: (630) 933-4700

    Fax: (630) 933-4427

    Type: Location

  • Ogden Avenue, Aurora, Kane County, Illinois, 60503, United States

    AURORA, IL 605045897

    Phone: (630) 978-4850

    Fax: (630) 978-6865

    Type: Mailing

  • Ogden Avenue, Aurora, Oswego Township, Kendall County, Illinois, 60503, United States

    SUITE 330

    AURORA, IL 605045894

    Phone: (630) 978-4850

    Fax: (630) 978-6865

    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: 2005-07-28

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
I20050728000667IFamily PracticeILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9959$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
99238Hospital discharge day management, 30 minutes or less1919$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1616$0
99239Hospital discharge day management, more than 30 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 60134)

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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: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

What unique ID ties claims to BRENDA K. FANN (MD)?
NPI 1356442347 is assigned to BRENDA K. FANN (MD) under the national enumeration system.
Is BRENDA K. FANN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does BRENDA K. FANN (MD) work in?
You can think of BRENDA K. FANN (MD) as practicing within Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What location shows for BRENDA K. FANN (MD)?
We surface Geneva, Illinois for BRENDA K. FANN (MD) based on available NPPES addresses.
How can I contact BRENDA K. FANN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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