Active NPI
Sheeyip Josiah Chan, DO
- Cardiovascular Disease Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 02001071
- Practice address
- 911 Fran Lin Pkwy
Munster, IN 46321-3540 - Phone
- (219) 836-1980
- Fax
- (219) 836-2133
- NPI assigned
- Jan 25, 2006
- Last updated
- Nov 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 02001071 | IN | Primary |
Addresses
Primary practice location
911 Fran Lin Pkwy
Munster, IN 46321-3540
Mailing address
911 Fran Lin Pkwy
Munster, IN 46321-3540
Phone (219) 836-1980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100361560A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Michigan State University College of Osteopathic Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
911 Fran Lin Pkwy
Munster, IN 46321-3540
Phone (219) 836-1980
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001071 | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current | Accepting new patients | |
| Lake County Cardiology and Internal Medicine PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
911 Fran Lin Pkwy
Munster, IN 46321
Phone (219) 836-1980
911 Fran Lin Pkwy
Ste B
Munster, IN 46321
Phone (219) 703-2408
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203
Interoperability endpoints
- schan7889@ssdirect.comhs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
-
- Internal Medicine Physician
- Munster, IN
- NPI 1902924004
Cardiovascular Disease
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint John, IN
- NPI 1922239706
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
dba Home Health of St Mary Medical Center
- Home Health Agency
- Hobart, IN
- NPI 1528160736
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1316917172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 FRAN LIN PKWY",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213540",
"telephone_number": "219-836-1980",
"fax_number": "219-836-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 FRAN LIN PKWY",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213540",
"telephone_number": "219-836-1980",
"fax_number": "219-836-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "SHEEYIP",
"middle_name": "JOSIAH",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "02001071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100361560A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.