Bienvenido Chan Siy-Hian, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21516 Issued in NC

Practice address

508 A Owen Drive
Fayetteville, NC 28304-3417

Phone

(910) 484-1586

Fax

(910) 483-5639

NPI assigned

Sep 26, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11549/brand/1/csg/1/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.

• Eventus Wholehealth Aco LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Concord, NC
  • NPI 1023796307
  Medicare reassignment NPD
• Lifelink Medical Group PLLC

  • Family Medicine Physician
  • Erwin, NC
  • NPI 1093104929
  Medicare reassignment NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467553289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 A OWEN DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043417",
            "telephone_number": "910-484-1586",
            "fax_number": "910-483-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 A OWEN DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043417",
            "telephone_number": "910-484-1586",
            "fax_number": "910-483-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIY-HIAN",
        "first_name": "BIENVENIDO",
        "middle_name": "CHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "21516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76682",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydell L Singletary
• Donnessa Sinkler
• Selvaratnam Sinna, M.D.
• Sinus & Allergy Solutions PA
• Sabrina Chelsea Sisounong, BCBA
• Jad Georges Skaf, MD
• Aleisha Skiff, FNP-C
• Brittany Marie Skinner, OT
• Heather Lyn Skinner, PA-C
• Mitchell Shane Skinner, PA-C

• Internal Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.