MARY BETH FASANO (MD) – Allergy & Immunology (Internal Medicine) Physician, NPI 1801884754

MARY BETH FASANO (MD) is a healthcare provider. based in Iowa city, Iowa. specializing in Allergy & Immunology (Internal Medicine) Physician. They hold the professional credentials MD. They hold a License No. 35451 (IA). The NPI Number for MARY BETH FASANO (MD) is 1801884754

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
MARY BETH FASANO (MD)
NPI
1801884754
Phone
(319) 356-3692
Address
200 HAWKINS DR
Enumeration Date
13 October 2005
Last Update Date
29 November 2007

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
8325031115
Group Practice PAC ID
7618884230
Professional Enrollment ID
I20040407000269
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARY BETH FASANO (MD)

  • University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States

    IOWA CITY, IA 522421009

    Phone: (319) 356-3692

    Fax: (319) 356-8280

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52242)

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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: 7618884230View full group profile

Reviews

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Frequently asked questions

Can I verify MARY BETH FASANO (MD) with an NPI only?
You can start verification with NPI 1801884754 for MARY BETH FASANO (MD), then check state licensing separately.
Can I rely on MARY BETH FASANO (MD) being an active provider?
As of the registry snapshot, MARY BETH FASANO (MD) is marked active.
What is MARY BETH FASANO (MD)'s primary classification?
Allergy & Immunology (Internal Medicine) Physician is the headline specialty for MARY BETH FASANO (MD) here. Clinical services aligned with this taxonomy classification.
Where is MARY BETH FASANO (MD) based?
MARY BETH FASANO (MD) is tied to Iowa City, Iowa in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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