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

Zhaijun Fan, DO

Individual provider Family Medicine Physician · NPI 1124225578

Zhaijun Fan, DO is a Family Practice in South Bend, Indiana. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2007, 19 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
19
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
IN
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1815 E Ireland Rd
South Bend, IN 46614-2845
Phone: (574) 647-1750
Fax: (574) 647-1748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3301 County Road 6 E, Elkhart, IN 46514-7673 — (574) 266-5342
  • 6913 N Main St, Granger, IN 46530-8039 — (574) 647-1500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02003570A (IN)

Record details

NPI number1124225578
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 29, 2007
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021
Mailing address710 N. Niles Ave, South Bend, IN 46617-1924

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2007 (19 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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