Active NPI
Eleanor Yuk-Yin Chan, MD, FRCSC
- Otology & Neurotology Physician
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 4301087151
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Ascension Providence Hospital, Southfield and Novi
- Beaumont Hospital - Dearborn
- Beaumont Hospital, Troy
- Beaumont Hospital - Grosse Pointe
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3201087151 | MI | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Ear Institute PLLC | Otolaryngology | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| University Physician Group | Otolaryngology | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients | |
| University Physician Group | Past | Accepting new patients | |
| Crystal Vision Consultants, LLC | Past | 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
- https://api.platform.athenahealth.com/21058/brand/1/csg/1/fhir/r4
- eleanor.chan.1@21058.direct.athenahealth.com
- echan385461@direct.hfhs.org
- 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.
-
- Otolaryngology Physician
- Farmington Hills, MI
- NPI 1568575215
-
- Mammography Clinic/Center
- Detroit, MI
- NPI 1225022288
-
- Family Medicine Physician
- Lapeer, MI
- NPI 1346396066
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Detroit, MI
- NPI 1386060226
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
-
- Optometrist
- Madison Heights, MI
- NPI 1184133498
-
- Social Worker
- Livonia, MI
- NPI 1154360402
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.