NPIMap

Individual provider Active NPI

Tyler Chan, MD

  • Surgery Physician
  • Parker, CO
National Provider Identifier
1821384959
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.58644 Issued in CO
Practice address
9399 Crown Crest Blvd Ste 240
Parker, CO 80138-8571
Phone
(720) 330-1310
Fax
(720) 452-2082
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DR.58644 CO Primary
Surgery Physician 208600000X MT200524 PA

Addresses

Primary practice location

9399 Crown Crest Blvd Ste 240
Parker, CO 80138-8571

Mailing address

9399 Crown Crest Blvd Ste 240
Parker, CO 80138-8571
Phone (720) 330-1310

Other practice location 1

9399 Crown Crest Blvd Ste 220
Parker, CO 80138-8508
Phone (303) 805-1855

Other identifiers 1

IdentifierTypeStateIssuer
9000153081MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171121002378 CO Practitioner - General Surgery 0042507279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 269-4975

9399 Crown Crest Blvd
Parker, CO 80138-8571

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.48 of 100Reported as group
Quality
58.76
Promoting interoperability
0
Improvement activities
30
Cost
77.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.58644COMDSurgery Physician
MT200524PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chris B Winter MD PC Surgery CurrentSince Nov 18, 2019 Accepting new patients
Portercare Adventist Health System CurrentSince Apr 21, 2025 Accepting new patients
Colorado Surgical and Critical Care Associates PLLC Surgery CurrentSince Oct 1, 2019 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Apr 21, 2025 Accepting new patients
Chris B Winter MD PC Surgery CurrentSince Nov 18, 2019 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

9399 Crown Crest Blvd
Ste 220
Parker, CO 80138
Phone (303) 805-1855

9399 Crown Crest Blvd
Ste 240
Parker, CO 80138
Phone (303) 649-3560

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Interoperability endpoints

  • Direct secure messaging: tyler.chan@hca3.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1821384959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD STE 240",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388571",
            "telephone_number": "720-330-1310",
            "fax_number": "720-452-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD STE 240",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388571",
            "telephone_number": "720-330-1310",
            "fax_number": "720-452-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9399 Crown Crest Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801388508",
            "country_code": "US",
            "telephone_number": "303-805-1855",
            "fax_number": "303-805-4421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.58644",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT200524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000153081",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.