NPIMap

Individual provider Active NPI

Roger Say Chan, M.D.

  • Cardiovascular Disease Physician
  • Olympia, WA
National Provider Identifier
1164530606
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD60002105 Issued in WA
Practice address
406-A Black Hills LN SW
Olympia, WA 98502
Phone
(360) 754-1737
Fax
(360) 754-1783
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60002105 WA
Cardiovascular Disease Physician 207RC0000X MD60002105 WA Primary

Addresses

Primary practice location

406-A Black Hills LN SW
Olympia, WA 98502

Mailing address

406-A Black Hills LN SW
Olympia, WA 98502
Phone (360) 754-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080902000134 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931275716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of California, San Diego School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympia Multi Specialty ClinicGroup PAC ID 4789571092, 21 clinicians
Lewis County Hospital District No 1Group PAC ID 6002727385, shared by 7 NPIs, 27 clinicians

Practice addresses (Care Compare)

406 Black Hills Lane SW
Olympia, WA 98502-8144

406 Black Hills LN SW
Suite a
Olympia, WA 98502-8144
Phone (360) 754-1727

521 Adams Ave
Morton, WA 98356-9323

531 Adams Ave
Morton, WA 98356-9323

Hospital & facility affiliations

  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Capital Medical Center Hospital, Olympia, WA, CCN 500139
  • Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Summit Pacific Medical Center Hospital, Elma, WA, CCN 501304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Hospital District No. 1 Current Accepting new patients
Olympia Multi Specialty Clinic CurrentSince Jun 8, 2015 Accepting new patients
Lewis County Hospital District No. 1 CurrentSince Jan 1, 2025 Accepting new patients
Lewis County Hospital District No. 1 CurrentSince Jan 1, 2025 Accepting new patients

Locations

406 Black Hills Ln SW
Ste A
Olympia, WA 98502
Phone (360) 754-1727

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

3920 Capital Mall Dr SW
Ste 302
Olympia, WA 98502
Phone (360) 561-6435

Organizations & group practices 5

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 10

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1164530606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406-A BLACK HILLS LN SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-1737",
            "fax_number": "360-754-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406-A BLACK HILLS LN SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-1737",
            "fax_number": "360-754-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ROGER",
        "middle_name": "SAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60002105",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60002105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.