KRYSTAL YING KAN MD
NPI 1245817410
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 25, 2021PECOS Enrolled
1855 W TAYLOR ST, CHICAGO, IL 60612(312) 996-4347(312) 996-1282 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krystal Ying Kan Md NPPES

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

KRYSTAL YING KAN MD (NPI 1245817410) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245817410
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRYSTAL YING KANCredential: MD
Location Address1855 W TAYLOR STChicago, IL 60612-7242
Mailing Address1855 W Taylor StChicago, IL 60612-7242 · (312) 996-4347 · Fax (312) 996-1282
Fax(312) 996-1282
Sole ProprietorNo
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 24, 2021
NPI 1245817410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1855 W TAYLOR ST, Chicago, IL 60612

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Krystal Ying Kan 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Compressor, air power source for equipment which is not self-contained or cylinder driven E0565
DME-Other DME · category DE000N
1 supplier12 claims12 services$26.51 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier12 claims12 services$30.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Ophthalmology
1855 W TAYLOR ST, SUITE 3.171
CHICAGO, IL 60612
Audiologist
1855 W TAYLOR ST, STE B46
CHICAGO, IL 60612
Audiologist
1855 W TAYLOR ST, SUITE B46
CHICAGO, IL 60612
Ophthalmology
1855 W TAYLOR ST
CHICAGO, IL 60612
Audiologist
1855 W TAYLOR ST, B46
CHICAGO, IL 60612
Ophthalmology (Glaucoma Specialist)
1855 W TAYLOR ST
CHICAGO, IL 60612
Otolaryngology
1855 W TAYLOR ST, MC648
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1855 W TAYLOR ST
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystal Kan's NPI number?

The NPI number for Krystal Kan is 1245817410. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Krystal Kan located?

Krystal Kan practices at 1855 W Taylor St, Chicago, IL 60612. The listed phone number is (312) 996-4347.

What is Krystal Kan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Krystal Kan enrolled in Medicare?

Yes. Krystal Kan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Krystal Kan was last updated on March 25, 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.