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CHUN YU WAN MD
NPI 1255034484
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since March 27, 2023PECOS Enrolled
12631 E 17TH AVE, STE 2001, MAIL STOP 8202, AURORA, CO 80045(303) 724-1758 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2024, Apr 14, 2024, Mar 27, 2023 (3 updates tracked since 2023).

About Chun Yu Wan Md NPPES

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

CHUN YU WAN MD (NPI 1255034484) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL0010347) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Stanford.

NPPES Registry Identity

NPI1255034484
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHUN YU WANCredential: MD
Location Address12631 E 17TH AVE, STE 2001, MAIL STOP 8202Aurora, CO 80045-2527
Mailing Address12631 E 17th Ave, Ste 2001, Mail Stop 8202Aurora, CO 80045-2527 · (303) 724-1758
Phone(303) 724-1758
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1255034484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CO · TL0010347
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.
12631 E 17TH AVE, STE 2001, Aurora, CO 80045
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Secondary Practice Location 1

Location 1300 Pasteur Dr Rm H3591Stanford, CA 94305-2200 · Phone (650) 725-2181

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chun Yu Wan 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.

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 Chun Yu Wan's NPI number?

The NPI number for Chun Yu Wan is 1255034484. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Chun Yu Wan located?

Chun Yu Wan practices at 12631 E 17th Ave, Ste 2001 Mail Stop 8202, Aurora, CO 80045. The listed phone number is (303) 724-1758.

What is Chun Yu Wan's specialty?

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

Is Chun Yu Wan enrolled in Medicare?

Yes. Chun Yu Wan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chun Yu Wan was last updated on July 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.