Pedro Y Chan, R.PH., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS5060 Issued in FL

Practice address

101 Lake Hayes Rd
Suite # 101
Oviedo, FL 32765-9097

Phone

(407) 365-9010

Fax

(407) 365-9032

NPI assigned

Sep 12, 2006

Last updated

Feb 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

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

Specialty

Family Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Registered Pharmacist

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pedro Y. Chan, R.PH., DO, PA

  dba Oviedo Family Clinic

  • Family Medicine Physician
  • Oviedo, FL
  • NPI 1518069111
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1477657922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAKE HAYES RD",
            "address_2": "SUITE # 101",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659097",
            "telephone_number": "407-365-9010",
            "fax_number": "407-365-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAKE HAYES RD",
            "address_2": "SUITE # 101",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659097",
            "telephone_number": "407-365-9010",
            "fax_number": "407-365-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "PEDRO",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "R.PH., D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046866500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George N. Cernansky Jr., ATCL
• Certified Rehabilitation Center of Florida, Inc.
• Jyothi Rani Chada, PHARM D
• Catherine Wingyun Chan, M.D.
• Katherine Lillian Chan, MD
• Stacey Lei-Ling Chan, DMD
• Eric M Chand, M.D.
• Changes Youth Services
• Ravishankar B. Channappa, MD
• Chapman & Associates Therapy Solutions, LLC

• Family Medicine Physician in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.

Verify at the official NPI Registry.