MOR-DAK SUSAN CHAN MD
NPI 1265466114
Anesthesiology in Los Angeles, CA
About Mor-dak Susan Chan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOR-DAK SUSAN CHAN MD (NPI 1265466114) is an individual anesthesiology provider in Los Angeles, California, licensed in California (G71263) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mor-dak Susan 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.
Medicare Billing Reassignment
Medicare enrollment records show Mor-dak Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 295 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Mor-dak Chan's NPI number?
The NPI number for Mor-dak Chan is 1265466114. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Mor-dak Chan located?
Mor-dak Chan practices at 757 Westwood Plz Ste 3325, Los Angeles, CA 90095. The listed phone number is (310) 267-8626.
What is Mor-dak Chan's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Mor-dak Chan enrolled in Medicare?
Yes. Mor-dak Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mor-dak Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mor-dak Chan reassigns Medicare benefits to Regents Of The University Of California (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mor-dak Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mor-dak Chan was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mor-Dak Susan Chan, MD · NPI 1265466114
Anesthesiology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1265466114 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** G71263 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ STE 3325, Los Angeles, CA 90095-3075
- **Phone:** (310) 267-8626 · **Fax:** (310) 267-3899
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Regents Of The University Of California (NPI 1326096165, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** August 15, 2024
- **Other identifiers:** Medicaid 00G712630 (CA); Other 00G712630 (CA); Medicaid 100507181 (NV); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1265466114) · Data from the CMS NPPES public registry.