Individual provider Active NPI

Edward Shei-Ahu Chan, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Honolulu, HI
National Provider Identifier
1871888909
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
MD-20866 Issued in HI
Practice address
3382 Waialae Ave
Honolulu, HI 96816-2637
Phone
(808) 548-7033
Fax
(808) 548-7034
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MDR-6085 HI
Orthopaedic Hand Surgery Physician 207XS0106X Q8449 TX
Orthopaedic Hand Surgery Physician 207XS0106X A148196 CA
Surgery of the Hand (Surgery) Physician 2086S0105X MD-20866 HI Primary

Addresses

Primary practice location

3382 Waialae Ave
Honolulu, HI 96816-2637

Mailing address

3382 Waialae Ave
Honolulu, HI 96816-2637
Phone (808) 548-7033

Other practice location 1

707 S Garfield Ave Fl 2
Alhambra, CA 91801-5859
Phone (626) 282-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20200430001405 HI Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 1557652286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Island Orthopaedics, LLCGroup PAC ID 1850578030, 12 clinicians

Practice addresses (Care Compare)

3382 Waialae Ave
Honolulu, HI 96816-2637
Phone (808) 548-7033

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006
  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR-6085HIMDOrthopaedic Surgery Physician
A148196CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Orthopaedics, LLC Orthopaedic Surgery CurrentSince Jun 1, 2020 Accepting new patients
Island Orthopaedics, LLC Orthopaedic Surgery CurrentSince Jun 1, 2020 Accepting new patients
Pacific Orthopaedic Medical Group, Inc. Orthopaedic Surgery PastSince Jun 16, 2024 Accepting new patients
Queens University Medical Group Past Accepting new patients

Locations

91-2135 Fort Weaver Rd
Fl 4
Ewa Beach, HI 96706
Phone (808) 691-3520

91-2135 Fort Weaver Rd
#4
Ewa Beach, HI 96706

91-2139 Fort Weaver Rd
Ste 305
Ewa Beach, HI 96706
Phone (808) 548-7036

67-1185 Mamalahoa Hwy
Unit A101
Kamuela, HI 96743
Phone (808) 548-7033

46-001 Kamehameha Hwy
Ste 412
Kaneohe, HI 96744
Phone (808) 548-7033

Interoperability endpoints

  • Direct secure messaging: echan@poa.gwaydirect.com

Organizations & group practices 4

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 3

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1871888909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3382 WAIALAE AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162637",
            "telephone_number": "808-548-7033",
            "fax_number": "808-548-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3382 WAIALAE AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162637",
            "telephone_number": "808-548-7033",
            "fax_number": "808-548-7034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 S Garfield Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918015859",
            "country_code": "US",
            "telephone_number": "626-282-1600",
            "fax_number": "626-656-1264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "EDWARD",
        "middle_name": "SHEI-AHU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MDR-6085",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "Q8449",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A148196",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "HI",
            "license": "MD-20866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.