BENJAMIN DAVID FANGMAN – Student in an Organized Health Care Education/Training Program, NPI 1417451162
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
310 HEMATOLOGY/ONCOLOGY in MO
Provider Addresses for BENJAMIN DAVID FANGMAN
9411 N OAK TRFY STE LL1
KANSAS CITY, MO 641552262
Phone: (816) 691-1655
Type: Mailing
2750 CLAY EDWARDS DR LOWR LEVEL
NORTH KANSAS CITY, MO 641163237
Phone: (816) 691-5216
Fax: (816) 346-7869
Type: Location
PO BOX 4439
HOUSTON, TX 772104439
Phone: (713) 792-2991
Type: Mailing
1515 HOLCOMBE BLVD
HOUSTON, TX 770304000
Phone: (713) 792-6161
Type: Location
University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States
DALLAS, TX 753907201
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,659.
Total Amount is formed as General ($1,659) + Research ($0) + Ownership ($0) = $1,659.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: HISTOSONICS, INC. ($263).
Total Amount
$1,659
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,659
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HISTOSONICS, INC. | $263 |
| PFIZER INC. | $139 |
| Novocure Inc. | $131 |
| Gilead Sciences, Inc. | $107 |
| GENZYME CORPORATION | $105 |
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: 2024-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240703002094 | I | Hematology/Oncology | KS | TBD |
| I20240807002892 | I | Hematology/Oncology | MO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64155)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Family Practice, Osteopathic Manipulative Medicine | MO | |
| - | MO | |
| - | MO | |
| Hospitalist, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | DE | |
| General Surgery | MO | |
| N E U R O L O G Y | MO | |
| A N E S T H E S I O L O G Y | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.