AUDREY JACQUELINE CHAN M.D.
NPI 1306161179
Dermatology - Pediatric Dermatology in Houston, TX
About Audrey Jacqueline Chan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDREY JACQUELINE CHAN M.D. (NPI 1306161179) is an individual pediatric dermatology provider in Houston, Texas, licensed in Texas (Q0233) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
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
Audrey Jacqueline Chan M.d. 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 Audrey Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Audrey Chan's NPI number?
The NPI number for Audrey Chan is 1306161179. It was assigned to this individual provider in the NPPES registry on April 5, 2010.
Where is Audrey Chan located?
Audrey Chan practices at 6701 Fannin St Suite 670, Houston, TX 77030. The listed phone number is (832) 822-3720.
What is Audrey Chan's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.
Is Audrey Chan enrolled in Medicare?
Yes. Audrey 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 Audrey Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Chan reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). 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 Audrey Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Audrey Chan accept?
Health plans from Moda Health Plan, Inc. list Audrey Chan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Audrey Chan was last updated on August 22, 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.
# Audrey Jacqueline Chan, M.D. · NPI 1306161179
Pediatric Dermatology physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since April 5, 2010.
## Identity
- **NPI:** 1306161179 (Entity type: Individual)
- **Enumerated:** April 5, 2010
- **Primary specialty:** Dermatology - Pediatric Dermatology · taxonomy 207NP0225X
- **State license:** Q0233 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6701 FANNIN ST, SUITE 670, Houston, TX 77030-2608
- **Phone:** (832) 822-3720
## 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:** Texas Children's Physician Group (NPI 1861675506, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1306161179) · Data from the CMS NPPES public registry.