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SIMON CHAN M.D.
NPI 1497762082
Internal Medicine - Gastroenterology in Antioch, CA

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
4501 SAND CREEK RD, DEPT. OF GASTROENTEROLOGY - 2ND FLOOR, ANTIOCH, CA 94531(925) 813-3707(925) 813-3701 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simon Chan M.d. NPPES

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

SIMON CHAN M.D. (NPI 1497762082) is an individual gastroenterology provider in Antioch, California, licensed in California (A85162) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2002).

NPPES Registry Identity

NPI1497762082
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSIMON CHANCredential: M.D.
Location Address4501 SAND CREEK RD, DEPT. OF GASTROENTEROLOGY - 2ND FLOORAntioch, CA 94531-8687
Mailing Address4501 Sand Creek Rd, Dept. Of Gastroenterology - 2nd FloorAntioch, CA 94531-8687 · (925) 813-3707 · Fax (925) 813-3701
Phone(925) 813-3707
Fax(925) 813-3701
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2002
Enumeration DateAugust 3, 2006
Last NPPES UpdateDecember 22, 2021
✔ NPI 1497762082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A85162
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4501 SAND CREEK RD, Antioch, CA 94531
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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

Simon 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 ID2062433824
PECOS Enrollment IDI20051208000684
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94531 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

KRISTEN ASAKO SHIMODA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4501 SAND CREEK RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-7280
DR. KAUSALYA CHENNAPRAGADA BHASKARABHATLA M.D.
Internal Medicine
4501 SAND CREEK RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-6500
JEFFREY ROBERT CHAVEZ PA-C
Physician Assistant
4501 SAND CREEK RD
ANTIOCH, CA 94531
Contra Costa County (925) 389-7719
DR. JAMES FRANCIS CHAN M.D.
Hospitalist
4501 SAND CREEK RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-6500
JACOB FREDRICKSON DPT
Physical Therapist
4501 SAND CREEK RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-6500
MENG HAO
Pharmacist
4501 SAND CREEK RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-6500
TIMOTHY VAN PHAN
Pharmacist
4501 SAND CREEK RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-6500
SHARON ANN LEWIS RRT
Respiratory Therapist, Registered
4501 SAND CREEK RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-6700

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 Simon Chan's NPI number?

The NPI number for Simon Chan is 1497762082. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Simon Chan located?

Simon Chan practices at 4501 Sand Creek Rd Dept. Of Gastroenterology - 2nd Floor, Antioch, CA 94531. The listed phone number is (925) 813-3707.

What is Simon Chan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Simon Chan enrolled in Medicare?

Yes. Simon 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.

When was this NPI record last updated?

The NPPES record for Simon Chan was last updated on December 22, 2021. 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.