CHARLES M CHAN MD
NPI 1407018369
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Palo Alto, CA

Q: What is Charles Chan's NPI number?

The NPI number for Charles Chan is 1407018369. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Q: What is Charles Chan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for Charles Chan was last updated on April 23, 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.

Active since July 01, 2008PECOS EnrolledAccepts Medicare Assignment

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles M Chan Md NPPES

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

CHARLES M CHAN MD (NPI 1407018369) is an individual pediatric orthopaedic surgery provider in Palo Alto, California, licensed in California (A126224) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Stanford, and is a graduate of Warren Alpert Medical School Of Brown University (2006).

NPPES Registry Identity

NPI1407018369

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameCHARLES M CHANCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address300 Pasteur DrStanford, CA 94305-2200

Phone(650) 497-8000

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2006

Enumeration DateJuly 1, 2008

Last NPPES UpdateApril 23, 2024

NPPES CertifiedApril 23, 2024

✔ NPI 1407018369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

License✔ Licensed in CA · A126224

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A126224 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Secondary Practice Location 1

Location 1300 Pasteur DrStanford, CA 94305-2200 · Phone (650) 723-4000

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

Charles M 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.

PECOS PAC ID6204062615

PECOS Enrollment IDI20131113000918

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.

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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)