AUDREY JACQUELINE CHAN M.D.
NPI 1306161179
Dermatology - Pediatric Dermatology in Houston, TX

Q: 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.

Q: What is Audrey Chan's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Chan was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 05, 2010PECOS EnrolledAccepts Medicare Assignment

6701 FANNIN ST, SUITE 670, HOUSTON, TX 77030(832) 822-3720 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1306161179

Entity TypeIndividualFemale

Primary Taxonomy207NP0225X

Provider Legal NameAUDREY JACQUELINE CHANCredential: M.D.

Location Address6701 FANNIN ST, SUITE 670Houston, TX 77030-2608

Mailing Address7500 Kirby Dr, Apt. 633Houston, TX 77030-4300 · (443) 618-1578

Phone(832) 822-3720

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 5, 2010

Last NPPES UpdateAugust 22, 2024

NPPES CertifiedAugust 22, 2024

✔ NPI 1306161179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NP0225X

License✔ Licensed in TX · Q0233

Definition

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Also ListedDermatologyTaxonomy 207N00000X · License Q0233 (TX)

Also ListedPediatricsTaxonomy 208000000X · License Q0233 (TX)

6701 FANNIN ST, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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

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.

PECOS PAC ID3678099744

PECOS Enrollment IDI20250501001486

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.

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.

New Patient

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

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.

SONIA ANN MONTEIRO MD

Pediatrics (Developmental - Behavioral Pediatrics)