Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer K Fan, MD

Individual provider Diagnostic Radiology Physician · NPI 1659360063

Jennifer K Fan, MD is a Diagnostic Radiology in Shelton, Connecticut. Graduated from Northwestern University Feinberg Medical School in 1996, 30 years ago. Practices with Advanced Radiology Consultants LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
30
Trained at
Northwestern University Feinberg Medical School
Licensed in
CT
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Corporate Dr Ste 325
Shelton, CT 06484-6295
Phone: (203) 696-3642
Fax: (203) 337-9731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 039357 (CT)

Record details

NPI number1659360063
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1996 (30 years in practice)
Group practice Advanced Radiology Consultants Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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