Paul S Chan, MD
Individual provider Active NPI Cardiovascular Disease Physician · Kansas City, MO
NPI 1881770519 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1881770519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 2007016261 (MO)
- Practice address
- 4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939 - Phone
- (816) 931-1883
- Fax
- (816) 756-3645
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Johns Hopkins University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
110 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
120 NE Saint Lukes Blvd
Suite 220
Lees Summit, MO 64086-6000
Phone (816) 347-5800
191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5700
2791 N Washington St
Saint Lukes Medical Group
Chillicothe, MO 64601-2902
Phone (660) 646-2682
2799 N Washington St
Chillicothe, MO 64601-2902
Phone (660) 646-1480
421 S Maple St
Garnett, KS 66032-1334
Phone (785) 204-8000
4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939
Phone (816) 931-1883
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (816) 891-3000
5844 NW Barry Rd
Kansas City, MO 64154-1483
601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700
601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999
Hospital & facility affiliations
- St Lukes Hospital of Kansas City
- Saint Luke'S South Hospital
- Saint Luke'S East Hospital
- Saint Lukes North Hospital
- Hedrick Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- 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 |
|---|---|---|---|---|
| I20070727000353 | MO | Practitioner - Cardiovascular Disease (Cardiology) |
7214038777 | Reassigns benefits to 1 organization |
| I20070727000702 | KS | Practitioner - Cardiovascular Disease (Cardiology) |
7214038777 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Cardiovascular Disease | Current |
Accepting new patients |
| Cushing Hospital Physician Services L.L.C. | Cardiovascular Disease | Past | Accepting new patients |
| Saint Luke'S Cardiology Services, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Saint Luke'S Hospital of Trenton | Cardiovascular Disease | Past | Accepting new patients |
Locations
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
1001 6th Ave
Ste 200
Leavenworth, KS 66048
Phone (913) 651-7151
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
13800 Metcalf Ave
Overland Park, KS 66223
Phone (800) 989-0525
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12330 Metcalf Ave
Ste 280
Overland Park, KS 66213
Phone (913) 491-1000
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300
603 E Gaines Dr
Clinton, MO 64735
Phone (660) 885-8141
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
4330 Wornall Rd
Ste 2000
Kansas City, MO 64111
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
20 NE Saint Lukes Blvd
Ste 240
Lees Summit, MO 64086
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
Interoperability endpoints
- pchan4444@direct.saint-lukes.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2007016261 | MO | Yes |
Addresses
Primary practice location
4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939
Mailing address
901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 502-7117
Other providers in Kansas City, MO
- Ashley Chamberlin
- Jonathan R Chambers
- Lauren Chambers
- Samantha Chambers
- Laurie Ellen Champ
- Sherwin Shiu-Cheung Chan
- Sophia Chan
- Yuiyee Raymond Chan
- Terry Wayne Chance
- Suman Chand
All providers in Kansas City, MO · Cardiovascular Disease Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. 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.