Tze Y. Chan, DO
Individual provider Active NPI Internal Medicine Physician · Newton, IA
NPI 1376579706 · NPPES record last updated Jan 6, 2011
Key facts
- NPI
- 1376579706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 02481 (IA)
- Practice address
- 300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155 - Phone
- (641) 792-2112
- Fax
- (641) 792-8484
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newton Clinic PC
Practice addresses (Care Compare)
300 N 4TH Ave E
Suite 200
Newton, IA 50208-3122
Phone (641) 792-2112
Hospital & facility affiliations
- Wesley Life Home Health
- Aveanna Healthcare
- Mercyone Des Moines Home Care
- Wesleylife Hospice
- St Croix Hospice
- Mercyone Newton Medical Center
- Mercyone Des Moines Medical Center
- Mercyone Newton Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 11 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100309000691 | IA | Practitioner - Internal Medicine | 5294815189 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02481 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Clinic PC | Internal Medicine | Current |
Accepting new patients |
Locations
300 N 4th Ave E
Newton, IA 50208
Phone (515) 644-3400
300 N 4th Ave E
Ste 200
Newton, IA 50208
Phone (641) 792-2112
Interoperability endpoints
- tze.chan.1@31005.direct.athenahealth.com
- https://api.platform.athenahealth.com/31005/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 02481 | IA | Yes |
Addresses
Primary practice location
300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155
Mailing address
300 N 4TH Ave E
Suite 200
Newton, IA 50208-3155
Phone (641) 792-2112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4071860 | Medicaid | IA |
Other providers in Newton, IA
- Cardinal Cab LLC
- Careage of Newton LLC
- Catholic Health Initiatives-Iowa Corp
- Catholic Health Initiatives-Iowa Corp
- Central Iowa Podiatry Inc
- Kyle Allen Chaska
- James M Christianson
- City of Newton
- Clinic Services Inc
- Jennifer Elaine Clodfelter
All providers in Newton, IA · Internal Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.