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

Kenneth L Fan, MD

Individual provider Plastic Surgery Physician · NPI 1144586355

Kenneth L Fan, MD is a Plastic and Reconstructive Surgery in Washington, District of Columbia. Graduated from University of Miami, Lm Miller School of Medicine in 2012, 14 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia.

Years since qualifying
14
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
DC
In the registry since
2012
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

3800 Reservoir Rd NW Dept OF Plastic Surgery
Washington, DC 20007
Phone: (202) 444-1233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD045855 (DC)

Record details

NPI number1144586355
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 2, 2012
Last updated in NPPESSeptember 6, 2018

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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