DR. KEVIN CHIAYU CHAN D.O.
NPI 1619363017
Hospitalist in Waukesha, WI

Q: What is Kevin Chan's NPI number?

The NPI number for Kevin Chan is 1619363017. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Q: What is Kevin Chan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Chan was last updated on December 6, 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.

Active since April 13, 2015PECOS Enrolled

725 AMERICAN AVE, WAUKESHA, WI 53188(262) 928-5400 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2021, Jan 10, 2019 (2 updates tracked since 2019).

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About Dr. Kevin Chiayu Chan D.o. NPPES

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

DR. KEVIN CHIAYU CHAN D.O. (NPI 1619363017) is an individual hospitalist provider in Waukesha, Wisconsin, licensed in Wisconsin (68954) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619363017

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. KEVIN CHIAYU CHANCredential: D.O.

Location Address725 AMERICAN AVEWaukesha, WI 53188-5031

Mailing Address725 American AveWaukesha, WI 53188-5031 · (262) 928-5400

Phone(262) 928-5400

Sole ProprietorNo

Enumeration DateApril 13, 2015

Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration

✔ NPI 1619363017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 68954

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

725 AMERICAN AVE, Waukesha, WI 53188

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Chiayu Chan D.o. 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 Kevin Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

1,673 mi

Health Maintenance Organization

3527 W FLORIDA AVE
Hemet, CA 92545

Reassigned Medicare billing, California enrollment
5,228 clinicians in this Medicare group

NPI 1013433465 (877) 608-0044

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$74.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. NATASHA JEAN PINKERTON LCSW

Social Worker (Clinical)

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

DR. FRANCISCO PEREZ M.D.

Anesthesiology

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 544-2011

ANNETTE QUINN NP

Nurse Practitioner (Obstetrics & Gynecology)

725 AMERICAN AVE, PROHEALTH CARE WOMEN'S CENTER
WAUKESHA, WI 53188

Waukesha County (262) 928-3500

ELIZABETH ROSE LEMM PA-C

Physician Assistant

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

DR. JASON GEORGE ULRICHS M.D.

Anesthesiology

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 787-6700

DAWN MICHELLE GOODREAU NNP-BC, APNP

Nurse Practitioner (Neonatal)

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (210) 685-0887

DR. ALYSSA JELINEK

Nurse Practitioner (Neonatal)

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

TIFFANY BOWDEN PA

Physician Assistant

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

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 Kevin Chan's NPI number?

The NPI number for Kevin Chan is 1619363017. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Kevin Chan located?

Kevin Chan practices at 725 American Ave, Waukesha, WI 53188. The listed phone number is (262) 928-5400.

What is Kevin Chan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kevin Chan enrolled in Medicare?

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

Which organization bills Medicare for Kevin Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Chan reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). 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 Kevin 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 Kevin Chan was last updated on December 6, 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.