Timothy Chan I, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD416 Issued in NM

Practice address

9040 Jackson Ave
Tacoma, WA 98431-1954

Phone

(253) 968-1110

NPI assigned

Mar 10, 2008

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 3

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.91 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: onr5371@yourcarecommunity.org
• FHIR API: https://fhir.meditouchehr.com/api/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.

• Ryan K Anderson D P M P C

  • Foot & Ankle Surgery Podiatrist
  • Bountiful, UT
  • NPI 1639200215

  NM

  Medicare reassignment Care Compare group
• Carlos a Cadena DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Las Cruces, NM
  • NPI 1679617229

  Primary Podiatric Medicine

  Medicare reassignment NPD
• DHHS,PHS,Naihs, Gallup Indian Medical Center

  • General Acute Care Hospital
  • Gallup, NM
  • NPI 1225002322

  TX

  Medicare reassignment NPD
• Foot & Ankle Reconstruction Associates LLC

  • Podiatrist
  • Sebring, FL
  • NPI 1073821294
  NPD
• Floyd I Miller DPM PC

  • Podiatric Clinic/Center
  • Chandler, AZ
  • NPI 1932227139

  Primary Podiatric Medicine

  NPD (past)
• Gregg Krahn DPM PC

  • Podiatrist
  • Chandler, AZ
  • NPI 1417129248

  Primary Podiatric Medicine

  NPD (past)
• New Vida Medical LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1508689274
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1790955367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311954",
            "telephone_number": "253-968-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "POD416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6364940001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790955367",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR",
            "identifier": "CZ549Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger S Chamusco, M.D.
• Amy Pui Kwan Chan
• Kwan Ting Chan
• Mandy Lu Chan, RN
• Sophally Chan
• Deepa Chandhrasekhar, DO
• Emily Chandler
• Nancy Chandler, ARNP
• Bindupriya Chandrasekaran, M.D., M.R.C.S
• Pushpa Chandwaney

• Foot & Ankle Surgery Podiatrist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.