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ALICE YUE-XI CHAN
NPI 1497140628
Pediatrics - Pediatric Cardiology in Winston Salem, NC

Active since April 03, 2015PECOS Enrolled
98.33/100
CMS Quality Rating
1806 S HAWTHORNE RD STE 100, WINSTON SALEM, NC 27103(336) 718-2560(336) 718-2569 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2023, Aug 4, 2021 (2 updates tracked since 2021).

About Alice Yue-xi Chan NPPES

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

ALICE YUE-XI CHAN (NPI 1497140628) is an individual pediatric cardiology provider in Winston Salem, North Carolina, licensed in North Carolina (2018-01158) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1497140628
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameALICE YUE-XI CHAN
Location Address1806 S HAWTHORNE RD STE 100Winston Salem, NC 27103-4014
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 718-2560 · Fax (336) 718-2569
Phone(336) 718-2560
Fax(336) 718-2569
Sole ProprietorNo
Enumeration DateApril 3, 2015
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1497140628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NC · 2018-01158
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.
1806 S HAWTHORNE RD STE 100, Winston Salem, NC 27103
Open in Google Maps ↗

Secondary Practice Location 1

Location 1115 Heart DrGreenville, NC 27834-8982 · Phone (252) 744-5601 · Fax (252) 744-3814

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice Yue-xi Chan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Alice Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC
Same address
Maternal & Fetal Medicine
1806 S HAWTHORNE RD STE 200
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1336799527 (336) 718-3170

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVANT HEALTH MEDICAL GROUP, LLC
Pediatrics (Sleep Medicine)
1806 S HAWTHORNE RD STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 481-1880
DR. CATHERINE WILLIFORD SECHRIST MD
Pediatrics (Pediatric Cardiology)
1806 S HAWTHORNE RD STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-2560
NOVANT HEALTH MEDICAL GROUP, LLC
Pediatrics (Pediatric Cardiology)
1806 S HAWTHORNE RD STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 718-2560

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 Alice Chan's NPI number?

The NPI number for Alice Chan is 1497140628. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Alice Chan located?

Alice Chan practices at 1806 S Hawthorne Rd Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 718-2560.

What is Alice Chan's specialty?

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

Is Alice Chan enrolled in Medicare?

Yes. Alice Chan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alice Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Chan reassigns Medicare benefits to Novant Health Medical Group, LLC (Winston Salem, NC). The 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 Alice Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alice Chan accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Alice 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 Alice Chan was last updated on November 13, 2023. 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.