Chinglin Lillian Chan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G4904 Issued in TX

Practice address

2500 Fondren Rd
Houston, TX 77063-2319

Phone

(713) 781-4600

Fax

(713) 917-5788

NPI assigned

Aug 25, 2005

Last updated

Nov 9, 2012By the provider in NPPES

Sex

Female

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 TX

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

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.

• Hillcroft Medical Clinic Association

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1588605430
  Medicare reassignment NPD

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1558354514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632319",
            "telephone_number": "713-781-4600",
            "fax_number": "713-917-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632319",
            "telephone_number": "713-781-4600",
            "fax_number": "713-917-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CHINGLIN",
        "middle_name": "LILLIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G4904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134375803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Chan, CRNA
• Amanda Chan, M.D
• Andy Chan
• Audrey Jacqueline Chan, M.D.
• Bert Kayho Chan, CRNA
• Cho Yi Chan, MA, CCC-SLP
• Colin Chan, MD
• Danielle Beatrice Chan, PA
• Dmitry Chan
• Doris W Chan, D.O.

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.