IndividualActive
Elaine Fan, MD
NPI 1598297178 · Pediatric Hematology & Oncology Physician · South Bend, IN
Provider details
- NPI number
- 1598297178
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 01099049A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
615 N Michigan St 4th Fl
South Bend, IN 46601-1033
Phone: (574) 647-6892
Fax: (574) 647-6895
Street-level locationGet directions
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Additional practice locations (1)
- 100 N Mario Capecchi DrSalt Lake City, UT 84113-1103Phone: (801) 662-4700
Registry dates
- Enumerated
- 2017-04-01
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.