WILSON CHAN MD
NPI 1164927067
Internal Medicine in Las Vegas, NV

Q: What is Wilson Chan's NPI number?

The NPI number for Wilson Chan is 1164927067. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Q: What is Wilson Chan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Wilson Chan was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment

1707 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102(702) 671-5070 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2021, Mar 24, 2018 (2 updates tracked since 2018).

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About Wilson Chan Md NPPES

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

WILSON CHAN MD (NPI 1164927067) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (20835) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Medstar Montgomery Medical Center, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1164927067

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameWILSON CHANCredential: MD

Location Address1707 W CHARLESTON BLVD STE 100Las Vegas, NV 89102-2352

Mailing Address3016 W Charleston Blvd, Ste 100Las Vegas, NV 89102-1973 · (702) 218-0915

Phone(702) 671-5070

Sole ProprietorYes

Medical School CMSPennsylvania State University College Of MedicineGraduated 2018

Enumeration DateMarch 24, 2018

Last NPPES UpdateJune 22, 20212 updates tracked since enumeration

NPPES CertifiedJune 22, 2021

✔ NPI 1164927067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NV · 20835

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1707 W CHARLESTON BLVD STE 100, Las Vegas, NV 89102

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Secondary Practice Location 1

Location 11701 W Charleston Blvd Ste 230Las Vegas, NV 89102-2312 · Phone (702) 671-2341

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wilson Chan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294084406

PECOS Enrollment IDI20220613000257, I20251028002575

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

803 services299 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

294 services266 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

175 services166 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

57 services36 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Montgomery Medical Center

Acute Care Hospitals · Olney, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210018

Location18101 Prince Philip DriveOlney, MD 20832 · Montgomery County

Emergency services Birthing friendly

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210028

Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County

Emergency services Birthing friendly

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210062

Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

ANDREW TYLER PHAM

Student in an Organized Health Care Education/Training Program