DR. DAVID R FANTI (MD) – Internal Medicine Physician, NPI 1396737904

DR. DAVID R FANTI (MD) is a healthcare provider. based in Springfield, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 54869 (MA). The NPI Number for DR. DAVID R FANTI (MD) is 1396737904

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID R FANTI (MD)
NPI
1396737904
Phone
(413) 734-4206
Address
300 BIRNIE AVE
Enumeration Date
19 August 2005
Last Update Date
16 April 2008

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4137344206
Graduation Year
1984 (42 years ago)
PAC ID
8820082456
Group Practice PAC ID
5698718245
Professional Enrollment ID
I20040414001113
Address ID
MA011071121SP300XXAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for DR. DAVID R FANTI (MD)

  • 300, Birnie Avenue, Brightwood, Springfield, Hampden County, Massachusetts, 01107, United States

    STE 102

    SPRINGFIELD, MA 01107

    Phone: (413) 734-4206

    Fax: (413) 737-8882

    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)

CMS reports 49 Open Payments records for all available years, with a total value of $959.

Total Amount is formed as General ($959) + Research ($0) + Ownership ($0) = $959.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Abbott Laboratories ($240).

Total Amount

$959

General + Research + Ownership

Payments

49

Total payment records

General Amount

$959

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-14

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
I20040414001113IInternal MedicineMATBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1,690214$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes1,413107$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month852191$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes799111$0
99214Established patient office or other outpatient visit, 30-39 minutes762467$0
View full utilization report →

Insurance plans in this area (ZIP 01107)

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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: 5698718245View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
-MA
Internal MedicineMA
Physician AssistantMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DAVID R FANTI (MD)?
DR. DAVID R FANTI (MD) — NPI 1396737904 — is the standard way to identify this listing.
Is DR. DAVID R FANTI (MD) still practicing?
DR. DAVID R FANTI (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. DAVID R FANTI (MD) hold?
Scheduling teams often label DR. DAVID R FANTI (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DAVID R FANTI (MD) on a map?
Expect Springfield, Massachusetts as a primary anchor for DR. DAVID R FANTI (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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