Individual provider Active NPI

Rodney K Chan, M.D.

  • Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1700964103
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
N4334 Issued in TX
Practice address
8042 Wurzbach Rd
Suite 130
San Antonio, TX 78229-3818
Phone
(210) 201-2806
Fax
(888) 878-2254
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD459490 PA
Plastic and Reconstructive Surgery Physician 2086S0122X N4334 TX
Plastic Surgery Physician 208200000X N4334 TX Primary

Addresses

Primary practice location

8042 Wurzbach Rd
Suite 130
San Antonio, TX 78229-3818

Mailing address

8042 Wurzbach Rd
Suite 130
San Antonio, TX 78229-3818
Phone (210) 201-2806

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170218000135 TX Practitioner - Plastic and Reconstructive Surgery 1658391230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Harvard Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Aesthetic and Reconstructive Surgery PLLCGroup PAC ID 5890078703, 5 clinicians

Practice addresses (Care Compare)

8042 Wurzbach Rd
Suite 130
San Antonio, TX 78229-3823
Phone (210) 201-2806

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD459490PAMDPlastic Surgery Physician
N4334TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Aesthetic and Reconstructive Surgery PLLC Plastic and Reconstructive Surgery CurrentSince Dec 25, 2016 Accepting new patients
Center for Ambulatory Surgery of America Current Accepting new patients

Locations

8042 Wurzbach Rd
Ste 130
San Antonio, TX 78229
Phone (210) 201-2806

Interoperability endpoints

  • Direct secure messaging: rchan105976@direct-guthrie.org
  • Direct secure messaging: rchan581201@christushealth.direct-ci.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1700964103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8042 WURZBACH RD",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293818",
            "telephone_number": "210-201-2806",
            "fax_number": "888-878-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8042 WURZBACH RD",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293818",
            "telephone_number": "210-201-2806",
            "fax_number": "888-878-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "RODNEY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD459490",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N4334",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N4334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.