CHI Meng Gan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00042949 Issued in WA

Practice address

1200 112TH Ave NE Ste C160
Bellevue, WA 98004

Phone

(425) 453-1039

Fax

(425) 453-8955

NPI assigned

Oct 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Clay County Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Brazil, IN
  • NPI 1972532125
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1356520258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-453-1039",
            "fax_number": "425-453-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE STE C160",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-453-1039",
            "fax_number": "425-453-8955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 156th Ave NE",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980074344",
            "country_code": "US",
            "telephone_number": "425-747-8950",
            "fax_number": "425-747-3254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 156th Ave NE",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980074344",
            "country_code": "US",
            "telephone_number": "425-747-8950",
            "fax_number": "425-747-3254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAN",
        "first_name": "CHI",
        "middle_name": "MENG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00042949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "G8800056",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0178441",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119114",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giselle Gamblin
• Matthew Gambone, PA
• Gamerica Healthcare LLC
• Paul E Gamman, DC
• David James Gamrath, DO
• Yanjun Gan, DDS
• Maheer Gandhavadi
• Robert M Gannan, MD PHD
• Gannon B. Stahl DDS PC
• Jennifer Charlotte Gannon, LMHCA

• Family Medicine Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.