Individual provider Active NPI

Molina Mo Wah Chan, M.D.

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1275727778
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 60095350 Issued in WA
Practice address
3900 Factoria Blvd SE Ste a
Bellevue, WA 98006-1234
Phone
(206) 320-2001
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 60095350 WA Primary

Addresses

Primary practice location

3900 Factoria Blvd SE Ste a
Bellevue, WA 98006-1234

Mailing address

3900 Factoria Blvd SE Ste a
Bellevue, WA 98006-1234
Phone (206) 320-2001

Other names 1

  • Molly Chan Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118001094 WA Practitioner - Family Practice 1355530619 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians
Pacmed ClinicsGroup PAC ID 2466350657, 211 clinicians

Practice addresses (Care Compare)

1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460

31833 B Gateway Ctr Blvd S
Federal Way, WA 98003-5616
Phone (253) 214-1920

5708 E Lake Samm Pkwy SE
Issaquah, WA 98029-8942
Phone (425) 688-5488

Hospital & facility affiliations

  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 60095350WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacmed Clinics Current Accepting new patients
Providence Health & Services - Washington CurrentSince Sep 1, 2021 Accepting new patients
Providence Health & Services- Washington CurrentSince Sep 1, 2021 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Multicare Health System CurrentSince Oct 10, 2011 Accepting new patients
Pacmed Clinics CurrentSince Mar 23, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Overlake Medical Clinics LLC CurrentSince Feb 24, 2025 Accepting new patients
Multicare Health System Family Medicine CurrentSince Oct 10, 2011 Accepting new patients
Virginia Mason Medical Center Family Medicine CurrentSince Sep 15, 2014 Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Feb 24, 2025 Accepting new patients
Virginia Mason Medical Center CurrentSince Sep 15, 2014 Accepting new patients
Radia Inc P S Past Accepting new patients

Locations

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

10223 NE 10th St
Bellevue, WA 98004
Phone (425) 453-3288

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

619 156th Ave SE
Bellevue, WA 98007
Phone (425) 637-3270

31833 Gateway Center Blvd S
#B
Federal Way, WA 98003
Phone (253) 214-1920

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

5708 E Lake Sammamish Pkwy SE
Issaquah, WA 98029
Phone (425) 688-5488

5708 E Lake Sammamish Pkwy SE
Ste 102
Issaquah, WA 98029
Phone (425) 688-5488

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

13159 Newcastle Commons Dr
Newcastle, WA 98059
Phone (425) 635-3010

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

17209 Redmond Way
Redmond, WA 98052
Phone (425) 635-6400

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1275727778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FACTORIA BLVD SE STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061234",
            "telephone_number": "206-320-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FACTORIA BLVD SE STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061234",
            "telephone_number": "206-320-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MOLINA",
        "middle_name": "MO WAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD 60095350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "CHAN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.