KAK-CHEN CHAN MD
NPI 1124103866
Pediatrics - Pediatric Cardiology in Hollywood, FL

Q: What is Kak-chen Chan's NPI number?

The NPI number for Kak-chen Chan is 1124103866. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Q: What is Kak-chen Chan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Kak-chen Chan was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 25, 2006PECOS Enrolled

1150 N 35TH AVE STE 490, HOLLYWOOD, FL 33021(954) 265-3437(954) 265-3731 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2021, Mar 16, 2021, Aug 31, 2020 and 2 more (5 updates tracked since 2017).

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About Kak-chen Chan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAK-CHEN CHAN MD (NPI 1124103866) is an individual pediatric cardiology provider in Hollywood, Florida, licensed in Florida (ME96781) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hollywood.

NPPES Registry Identity

NPI1124103866

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameKAK-CHEN CHANCredential: MD

Location Address1150 N 35TH AVE STE 490Hollywood, FL 33021-5423

Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074

Phone(954) 265-3437

Fax(954) 265-3731

Sole ProprietorNo

Enumeration DateOctober 25, 2006

Last NPPES UpdateMay 24, 20215 updates tracked since enumeration

NPPES CertifiedApril 23, 2021

✔ NPI 1124103866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in FL · ME96781

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

1150 N 35TH AVE STE 490, Hollywood, FL 33021

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Secondary Practice Location 1

Location 13501 Johnson St, Total Heart CenterHollywood, FL 33021 · Phone (954) 265-3437 · Fax (954) 265-3731

Other Identifiers 1

Medicaid022643400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kak-chen Chan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAIMAL ANITHA JAYAKUMAR M.D.

Pediatrics (Pediatric Cardiology)