Individual provider Active NPI

Renee L. Chan, M.D.

  • Obstetrics & Gynecology Physician
  • McKinney, TX
National Provider Identifier
1952502999
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M6560 Issued in TX
Practice address
4701 Medical Center Dr
Ste 1-a
McKinney, TX 75069-1831
Phone
(214) 733-8001
Fax
(972) 542-3559
NPI assigned
May 29, 2007
Last updated
Dec 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M6560 TX Primary

Addresses

Primary practice location

4701 Medical Center Dr
Ste 1-a
McKinney, TX 75069-1831

Mailing address

4701 Medical Center Dr
Ste 1-a
McKinney, TX 75069-1831
Phone (214) 733-8001

Other identifiers 1

IdentifierTypeStateIssuer
179213701MedicaidTX

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
I20071108000302 TX Practitioner - Obstetrics/Gynecology 3476641473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
St. Louis College of Physicians and Surgeons, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical City OB-GYN, PLLCGroup PAC ID 3476808411, 60 clinicians

Practice addresses (Care Compare)

1700 N Lake Forest Dr
McKinney, TX 75071-7600
Phone (214) 733-8001

2805 S Mayhill Rd
Denton, TX 76208-5910
Phone (940) 387-7588

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6560TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. Obstetrics & Gynecology CurrentSince Sep 4, 2018 Accepting new patients
Medical City OB-GYN, PLLC Obstetrics & Gynecology CurrentSince Jan 15, 2024 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. Obstetrics & Gynecology CurrentSince Sep 4, 2018 Accepting new patients
Baylor Scott & White Medical Centers - Greater North Texas Past Accepting new patients
Columbia Medical Center of McKinney Subsidiary LP Past Accepting new patients

Locations

515 W Mayfield Rd
Ste 200
Arlington, TX 76014
Phone (817) 375-5847

2805 S Mayhill Rd
Denton, TX 76208
Phone 9405916700257

2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400

1700 N Lake Forest Dr
McKinney, TX 75071
Phone (214) 733-8001

4701 Medical Center Dr
Ste 1A
McKinney, TX 75069
Phone (214) 733-8001

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: renee.chan@hca7.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1952502999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MEDICAL CENTER DR",
            "address_2": "STE 1-A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691831",
            "telephone_number": "214-733-8001",
            "fax_number": "972-542-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MEDICAL CENTER DR",
            "address_2": "STE 1-A",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691831",
            "telephone_number": "214-733-8001",
            "fax_number": "972-542-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "RENEE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M6560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179213701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.