DR. EDWIN CHAN MD NPI 1124142054

NPI Information

  • NPI: 1124142054
  • Provider Name: DR. EDWIN CHAN, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1810 ELDRON BLVD SE
    PALM BAY, FL
    ZIP 32909
  • Phone: (321) 576-0645

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NPI Details

DR. Edwin Chan, MD is a family medicine in Palm Bay, FL with 26 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Edwin Chan, MD NPI is 1124142054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1810 ELDRON BLVD SE
PALM BAY, FL
ZIP 32909-831
Phone: (321) 576-0645
Fax: (321) 409-6812

The NPI 1124142054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) (HCPCS:J0153)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • Automated urinalysis test (HCPCS:81003)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Analysis of substance using immunoassay technique, single step method (HCPCS:83518)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Test for balance and posture (HCPCS:92548)
  • Injection, methylprednisolone sodium succinate, up to 40 mg (HCPCS:J2920)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound of within the brain blood flow (HCPCS:93888)
  • Thallium tl-201 thallous chloride, diagnostic, per millicurie (HCPCS:A9505)
  • Blood test, clotting time (HCPCS:85610)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) (HCPCS:93017)
  • Injection, aminophyllin, up to 250 mg (HCPCS:J0280)
  • Technetium tc-99m sestamibi, diagnostic, per study dose (HCPCS:A9500)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Removal of impacted ear wax (HCPCS:69210)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Advance care planning, first 30 minutes (HCPCS:99497)

The enumeration date for this NPI number is 3/17/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME104439FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1VB775OTHERFLORIDAMEDICARE HF

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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