Albert Chan, M.D.
Individual provider Active NPI Interventional Cardiology Physician · Columbia, MO
NPI 1669598629 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1669598629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 2013020657 (MO)
- Practice address
- 1 Hospital Dr
Columbia, MO 65212-0001 - Phone
- (573) 882-2296
- Fax
- (573) 884-7743
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Curators of the University of Missouri
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141
Hospital & facility affiliations
- University of Missouri Health Care
- Moberly Regional Medical Center
- Boone Hospital Center
- Bothwell Regional Health Center
- Phelps County Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 58.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131030000265 | MO | Practitioner - Interventional Cardiology |
0143476036 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME112914 | FL | MD | Interventional Cardiology Physician |
| 7943992-1205 | UT | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Curators of the University of Missouri | Current |
Accepting new patients | |
| Capital Region Medical Center | Current | Accepting new patients | |
| Curators of the University of Missouri | Current |
Accepting new patients | |
| Midwest Heart and Vein Center, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Curators of the University of Missouri | Past | Accepting new patients |
Locations
404 N Keene St
Columbia, MO 65201
Phone (573) 875-9000
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
3501A W Truman Blvd
Jefferson Cty, MO 65109
Phone (573) 636-0635
1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400
Interoperability endpoints
- achan392917@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2013020657 | MO | |
| Interventional Cardiology Physician | 207RI0011X | 7943992-1205 | UT | |
| Interventional Cardiology Physician | 207RI0011X | ME112914 | FL | |
| Interventional Cardiology Physician | 207RI0011X | 2013020657 | MO | Yes |
Addresses
Primary practice location
1 Hospital Dr
Columbia, MO 65212-0001
Mailing address
PO Box 7687
Columbia, MO 65205-7687
Phone (573) 882-2259
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Other providers in Columbia, MO
- Jacob R Chambers
- Kimberly Ann Chambers
- Megan Chambers
- Randall Elizabeth Chambers
- Jesse Aaron Champagne
- Frank Chan
- Lina Chan
- Violet Chandler
- Charlotte Lin Chang
- Chia-Wai David Chang
All providers in Columbia, MO · Interventional Cardiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.