DAVID P CHAN MD
NPI 1427057595
Pediatrics - Pediatric Cardiology in Peoria, IL

Q: What is David Chan's NPI number?

The NPI number for David Chan is 1427057595. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is David Chan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for David Chan was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 20, 2005PECOS EnrolledAccepts Medicare Assignment

420 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-3453(309) 655-3410 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About David P Chan Md NPPES

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

DAVID P CHAN MD (NPI 1427057595) is an individual pediatric cardiology provider in Peoria, Illinois, licensed in Illinois (036122927) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1986).

NPPES Registry Identity

NPI1427057595

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDAVID P CHANCredential: MD

Location Address420 NE GLEN OAK AVEPeoria, IL 61637-0001

Mailing Address611 W. Park St., FapcUrbana, IL 61801

Phone(309) 655-3453

Fax(309) 655-3410

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1986

Enumeration DateJuly 20, 2005

Last NPPES UpdateMarch 30, 2022

NPPES CertifiedMarch 22, 2022

✔ NPI 1427057595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in IL · 036122927✔ Licensed in OH · 35 063194

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

420 NE GLEN OAK AVE, Peoria, IL 61637

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Other Identifiers 4

Medicaid0107855000WV

Medicaid6493002700KY

Other216946IL · Medicare Group

Medicaid0883147OH

Accepted Insurance

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

David P 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 ID1153471701

PECOS Enrollment IDI20090603000079

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.

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 David Chan's NPI number?

The NPI number for David Chan is 1427057595. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is David Chan located?

David Chan practices at 420 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-3453.

What is David Chan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is David Chan enrolled in Medicare?

Yes. David 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 David Chan accept?

Health plans from CareSource list David 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 David Chan was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.