Wai Kan Chiu, M.D., PH.D.
Individual provider Active NPI Gastroenterology Physician · Cameron Park, CA
NPI 1801258686 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1801258686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 177179 (CA)
- Practice address
- 3501 Palmer Dr Ste 201
Cameron Park, CA 95682-8276 - Phone
- (530) 626-2611
- Fax
- (212) 746-3609
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- University of Pittsburgh School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Marshall Medical Center
Practice addresses (Care Compare)
3501 Palmer Dr
Suite 201
Cameron Park, CA 95682-8276
Phone (530) 672-7040
Hospital & facility affiliations
- Marshall Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 350 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 170 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20220620001004 | CA | Practitioner - Gastroenterology | 9436497062 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177179 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Medical Center | Current |
Accepting new patients | |
| Marshall Medical Center | Gastroenterology | Current |
Accepting new patients |
| Marshall Medical Center | Past | Accepting new patients |
Locations
3501 Palmer Dr
Ste 204
Cameron Park, CA 95682
Phone (530) 626-9488
3501 Palmer Dr
Ste 201
Cameron Park, CA 95682
Phone (530) 626-2611
3501 Palmer Dr
Cameron Park, CA 95682
1004 Fowler Way
Ste 4
Placerville, CA 95667
Phone (530) 626-9488
1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 177179 | CA | Yes |
Addresses
Primary practice location
3501 Palmer Dr Ste 201
Cameron Park, CA 95682-8276
Mailing address
PO Box 45680
San Francisco, CA 94145-0680
Phone (530) 626-2787
Other providers in Cameron Park, CA
- Janey Arlene Caylor
- Center for Functional & Integrative Medicine, Inc
- Shama Beth Chaiken
- Allen Earl Chantry
- Helen Yen-Hwa Cheng
- Lauren Chong
- CHW Medical Foundation
- CHW Medical Foundation
- Victoria Lynn Clark
- Marissa Cochran
All providers in Cameron Park, CA · Gastroenterology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. 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.