Individual provider Active NPI

Eric K Chan, M.D.

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1831118785
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M0685 Issued in TX
Practice address
6431 Fannin St
MSB. 5.020
Houston, TX 77030-1501
Phone
(713) 500-6200
Fax
(713) 500-6201
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X M0685 TX
Anesthesiology Physician 207L00000X M0685 TX Primary

Addresses

Primary practice location

6431 Fannin St
MSB. 5.020
Houston, TX 77030-1501

Mailing address

6823 Staffordshire St
Houston, TX 77030-4107

Other identifiers 3

IdentifierTypeStateIssuer
187258203OtherTXCSHCN
187258201MedicaidTX
8AA123OtherTXBCBS

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
I20070710000924 TX Practitioner - Anesthesiology 6709986490 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0685TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Community Medical Center LLP CurrentSince Jun 23, 2018 Accepting new patients
Anesthesia Associates of Houston Metroplex Anesthesiology CurrentSince Jul 1, 2009 Accepting new patients
Redwood Health Corporation PastSince Jan 24, 2010 Accepting new patients

Locations

4301 Vista Rd
Pasadena, TX 77504
Phone (281) 765-2930

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Surgery Specialty Hospitals of America, S.E. HoustonPasadena, TX, CCN 450831 Hospital 5% Or Greater Indirect Ownership Interest (8.8%)
Corporate Officer (100%)
Operational/Managerial Control (100%)
Dec 7, 2012
Dec 7, 2012
Dec 7, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1831118785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 STAFFORDSHIRE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "MSB. 5.020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-6200",
            "fax_number": "713-500-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ERIC",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "TX",
            "license": "M0685",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M0685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "187258203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187258201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AA123",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.