Individual provider Active NPI

Eleanor Yuk-Yin Chan, MD, FRCSC

  • Otology & Neurotology Physician
  • Farmington Hills, MI
National Provider Identifier
1457578106
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
4301087151 Issued in MI
Practice address
30055 Northwestern Hwy Ste 101
Farmington Hills, MI 48334-3260
Phone
(248) 865-4135
Fax
(248) 865-4121
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X 3201087151 MI
Otology & Neurotology Physician 207YX0901X 4301087151 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy Ste 101
Farmington Hills, MI 48334-3260

Mailing address

30055 Northwestern Hwy Ste 101
Farmington Hills, MI 48334-3260
Phone (248) 865-4135

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eleanor.chan.1@19711.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080812000321 MI Practitioner - Otolaryngology 1557436458 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians
Michigan Ear Institute PLLCGroup PAC ID 5597735514, 35 clinicians

Practice addresses (Care Compare)

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3260
Phone (248) 865-4444

30055 Northwestern Hwy 101
Farmington Hills, MI 48334-3260

3555 W 13 Mile Rd
Suite 210
Royal Oak, MI 48073-6710
Phone (248) 865-4444

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

46325 W 12 Mile Rd
Suite 125
Novi, MI 48377-2460
Phone (248) 865-4444

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3201087151MIMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ear Institute PLLC Otolaryngology CurrentSince Oct 20, 2008 Accepting new patients
McLaren Medical Group CurrentSince Dec 16, 2020 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Oct 30, 2024 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Oct 30, 2024 Accepting new patients
University Physician Group Otolaryngology CurrentSince Jul 1, 2017 Accepting new patients
McLaren Medical Group CurrentSince Dec 16, 2020 Accepting new patients
University Physician Group Past Accepting new patients
Crystal Vision Consultants, LLC PastSince Nov 15, 2017 Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

30055 Northwestern Hwy
Ste 101
Farmington Hills, MI 48334
Phone (248) 865-4166

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

46325 W Twelve Mile Rd
Ste 125
Novi, MI 48377
Phone (248) 865-4444

1135 W University Dr
Ste 440
Rochester Hls, MI 48307
Phone (248) 218-5557

3555 W 13 Mile Rd
Ste N210
Royal Oak, MI 48073
Phone (248) 395-6487

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

1560 E Maple Rd
Ste 400
Troy, MI 48083

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21058/brand/1/csg/1/fhir/r4
  • Direct secure messaging: eleanor.chan.1@21058.direct.athenahealth.com
  • Direct secure messaging: echan385461@direct.hfhs.org
  • Direct secure messaging: echan@direct.dmc.org

Organizations & group practices 8

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 7

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1457578106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343260",
            "telephone_number": "248-865-4135",
            "fax_number": "248-865-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343260",
            "telephone_number": "248-865-4135",
            "fax_number": "248-865-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ELEANOR",
        "middle_name": "YUK-YIN",
        "name_prefix": "Dr.",
        "credential": "MD, FRCSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MI",
            "license": "3201087151",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MI",
            "license": "4301087151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eleanor.chan.1@19711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30055 Northwestern Hwy Ste 101",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483343260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.