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

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: November 01, 2026.

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, maintains 2 additional practice locations, 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
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

Secondary Practice Locations 2

Location 11302 Franklin Ave Ste 3400Normal, IL 61761-6523 · Phone (309) 556-8300
Location 2611 W Park StUrbana, IL 61801-2529 · Phone (217) 383-3100

Other Identifiers 4

Medicaid0107855000WV
Medicaid6493002700KY
Other216946IL · Medicare Group
Medicaid0883147OH

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

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.

Medicare Billing Reassignments

8

Medicare enrollment records show David Chan reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Unit
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
Family Medicine
5401 N KNOXVILLE AVE, SUITE 209
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
Land Transport
1000 MEDICAL CENTER DR
Monticello, IL 61856
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1386635373 (Illinois)
  • 118 clinicians in this Medicare group
Internal Medicine
101 W UNIVERSITY AVE
Champaign, IL 61820
  • Reassigned Medicare billing, Illinois enrollment
  • 289 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
Rural Health
801 E ORANGE ST
Hoopeston, IL 60942
  • Reassigned Medicare billing, Illinois enrollment
  • 488 clinicians in this Medicare group
Rural Health
1200 N EAST ST
Olney, IL 62450
  • Reassigned Medicare billing, Illinois enrollment
  • 301 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.

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.

Which organizations bill Medicare for David Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Chan reassigns Medicare benefits to 8 organizations: Methodist Medical Center Of Illinois (Peoria, IL), Proctor Health Systems (Peoria, IL), Carle West Physician Group Inc (Normal, IL), Kirby Medical Center (Monticello, IL), Christie Clinic, PLLC (Champaign, IL) and 3 more organizations, listed in the Medicare section above. Each 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 David Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.