Individual provider Active NPI

Edwin Yirong Chan, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1851917769
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47839 Issued in OK
Practice address
1211 N Shartel Ave Ste 408
Oklahoma City, OK 73103-2400
Phone
(405) 272-4978
Fax
(405) 772-4430
NPI assigned
Jun 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47839 OK Primary
Hospitalist Physician 208M00000X 47839 OK

Addresses

Primary practice location

1211 N Shartel Ave Ste 408
Oklahoma City, OK 73103-2400

Mailing address

1211 N Shartel Ave Ste 408
Oklahoma City, OK 73103-2400
Phone (405) 272-4978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230914001975 LA Practitioner - Internal Medicine 6608230248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

3700 Saint Charles Ave
FL 4
New Orleans, LA 70115-4637
Phone (504) 897-7007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336695LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation CurrentSince Dec 17, 2025 Accepting new patients
Crescent City Physicians, Inc. Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
University Medical Center Management Corporation Internal Medicine CurrentSince Dec 17, 2025 Accepting new patients
Touro Infirmary Past Accepting new patients
University Medical Center Management Corporation Past Accepting new patients
Family Care 323, PLLC Hospitalist PastSince Jun 1, 2022 Accepting new patients

Locations

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

1401 Foucher St
Fl 2
New Orleans, LA 70115
Phone (504) 210-4472

3700 Saint Charles Ave
Fl 4
New Orleans, LA 70115
Phone (504) 412-1444

Organizations & group practices 6

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 4

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1851917769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 408",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032400",
            "telephone_number": "405-272-4978",
            "fax_number": "405-772-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 408",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032400",
            "telephone_number": "405-272-4978",
            "fax_number": "405-772-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "EDWIN",
        "middle_name": "YIRONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-17",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "47839",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "47839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.