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JACK SUI KI CHAN M.D.
NPI 1376741256
Emergency Medicine in Las Vegas, NV

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1350 N TOWN CENTER DR UNIT 1033, LAS VEGAS, NV 89144(517) 899-5453 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Sui Ki Chan M.d. NPPES

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

JACK SUI KI CHAN M.D. (NPI 1376741256) is an individual emergency medicine provider in Las Vegas, Nevada, licensed in Washington (MD60179402) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Starr Regional Medical Center Athens, and is a graduate of University Of Vermont College Of Medicine (2007).

NPPES Registry Identity

NPI1376741256
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACK SUI KI CHANCredential: M.D.
Location Address1350 N TOWN CENTER DR UNIT 1033Las Vegas, NV 89144-0577
Mailing Address1350 N Town Center Dr Unit 1033Las Vegas, NV 89144-0577 · (517) 899-5453
Phone(517) 899-5453
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2007
Enumeration DateJuly 3, 2007
Last NPPES UpdateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
✔ NPI 1376741256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WA · MD60179402
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 4301090230 (MI)
1350 N TOWN CENTER DR UNIT 1033, Las Vegas, NV 89144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Jack Sui Ki 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 ID244360196
PECOS Enrollment IDI20101011001131, I20211115002024
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
137 services135 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
91 services87 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
58 services55 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
38 services37 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440068
Location1114 W Madison AveAthens, TN 37371 · Mc Minn County
Emergency services Birthing friendly

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Astria Toppenish Hospital

Acute Care Hospitals · Toppenish, WA
OwnershipVoluntary non-profit - Private
CMS Certification Number500037
Location502 W Fourth AveToppenish, WA 98948 · Yakima County
Emergency services

Forks Community Hospital

Critical Access Hospitals · Forks, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501325
Location530 Bogachiel WayForks, WA 98331 · Clallam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89144 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost90.14

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 Jack Chan's NPI number?

The NPI number for Jack Chan is 1376741256. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Jack Chan located?

Jack Chan practices at 1350 N Town Center Dr Unit 1033, Las Vegas, NV 89144. The listed phone number is (517) 899-5453.

What is Jack Chan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jack Chan enrolled in Medicare?

Yes. Jack 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.

What insurance does Jack Chan accept?

Health plans from Oscar Insurance Company list Jack 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.

Is Jack Chan affiliated with any hospitals?

According to CMS data, Jack Chan is affiliated with Starr Regional Medical Center Athens, Physicians Regional Medical Center, Astria Toppenish Hospital and Forks Community Hospital.

When was this NPI record last updated?

The NPPES record for Jack Chan was last updated on September 30, 2020. 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.