Individual provider Active NPI

Cheung Hing Chan, D.P.M

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1952343014
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004337 Issued in IL
Practice address
2143 W 95TH St
Chicago, IL 60643-1018
Phone
(773) 238-7400
Fax
(312) 225-0818
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004337 IL Primary

Addresses

Primary practice location

2143 W 95TH St
Chicago, IL 60643-1018

Mailing address

2143 W 95TH St
Chicago, IL 60643-1018
Phone (773) 238-7400

Other identifiers 1

IdentifierTypeStateIssuer
016004337MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019001636 IL Practitioner - Podiatry 0648463984 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2143 W 95TH St
Chicago, IL 60643-1018
Phone (773) 238-7400

6508 S Halsted St
Chicago, IL 60621-2616
Phone (773) 651-1224

Hospital & facility affiliations

  • South Shore Hospital Hospital, Chicago, IL, CCN 140181
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue41
Removal of nail tissue157
Removal or shaving of skin growth58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016004337ILMDPodiatrist

Interoperability endpoints

  • Direct secure messaging: cchan1@direct-address.org

Hospital & facility affiliations 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1952343014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431018",
            "telephone_number": "773-238-7400",
            "fax_number": "312-225-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431018",
            "telephone_number": "773-238-7400",
            "fax_number": "312-225-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CHEUNG",
        "middle_name": "HING",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004337",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.