Cindy Lyou Chan, M.D.

Individual provider Active NPI Internal Medicine Physician · League City, TX

NPI 1154588705 · NPPES record last updated Feb 19, 2020

Key facts

NPI
1154588705
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
P0087 (TX)
Practice address
2660 Gulf Fwy S Ste 6
League City, TX 77573-6820
Phone
(832) 505-2250
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utmb Faculty Group Practice (1,083 clinicians)

Practice addresses (Care Compare)

2660 Gulf Fwy S
League City, TX 77573-6820

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

PO Box
650859 Dept 710
Dallas, TX 75265-0859

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital · Galveston, TX · CCN 450018

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110817000402 TX Practitioner - Internal Medicine 4385813880 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P0087TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Internal Medicine Current
since Jun 20, 2011
Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

301 University Blvd
Fl 6
Galveston, TX 77555

2660 Gulf Fwy S
Ste 6
League City, TX 77573
Phone (832) 505-2150

Interoperability endpoints

  • Direct secure messaging: cchan31@direct.utmb.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P0087 TX Yes

Addresses

Primary practice location

2660 Gulf Fwy S Ste 6
League City, TX 77573-6820

Mailing address

301 University Blvd
Galveston, TX 77555-1167
Phone (409) 747-1883

Other practice location 1

301 University Blvd
Galveston, TX 77555-1167
Phone (409) 772-7063

Other identifiers

IdentifierTypeStateIssuer
282918601MedicaidTX

Other names

  • Cindy Lyou Former name

Other providers in League City, TX

All providers in League City, TX · Internal Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.