DR. KEVIN JAN CHAN (MD) – Hospitalist Physician, NPI 1023505591

DR. KEVIN JAN CHAN (MD) is a healthcare provider. based in Rancho mirage, California. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. A173962 (CA). The NPI Number for DR. KEVIN JAN CHAN (MD) is 1023505591

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN JAN CHAN (MD)
NPI
1023505591
Phone
(760) 340-3911
Address
39000 Bob Hope Dr
Enumeration Date
19 April 2018
Last Update Date
1 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8185281260
Graduation Year
2018 (8 years ago)
PAC ID
6002212925
Group Practice PAC ID
4385883958
Professional Enrollment ID
I20210901000905
Address ID
CA914031811SH4955XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,314 HOSPITALIST in CA

Provider Addresses for DR. KEVIN JAN CHAN (MD)

  • 39000 Bob Hope Dr

    Rancho Mirage, CA 922703221

    Phone: (760) 340-3911

    Type: Location

  • 18493, Buttonwood Lane, Rowland Heights, Los Angeles County, California, 91748, United States

    ROWLAND HEIGHTS, CA 917484728

    Phone:

    Type: Mailing

  • Eisenhower Medical Center, 39000, Bob Hope Drive, Rancho Mirage, Riverside County, California, 92270, United States

    RANCHO MIRAGE, CA 922703221

    Phone: (760) 340-3911

    Type: Location

  • PO BOX 10069

    SAN BERNARDINO, CA 924230069

    Phone: (909) 335-4188

    Type: Mailing

  • 2 W FERN AVE

    REDLANDS, CA 923735916

    Phone: (909) 793-3311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-01

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210901000905IHospitalistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes375157$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes169158$0
99239Hospital discharge day management, more than 30 minutes158152$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4427$0
99497Advance care planning, first 30 minutes3332$0
View full utilization report →

Insurance plans in this area (ZIP 92270)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385883958View full group profile
NameSpecialtyState
Nurse PractitionerCA
Internal MedicineCA
Nurse PractitionerCA
Family PracticeCA
Nurse PractitionerCA
Internal MedicineCA
Family PracticeCA
Internal MedicineCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How do payers reference DR. KEVIN JAN CHAN (MD)?
For DR. KEVIN JAN CHAN (MD), use NPI 1023505591 as the unique 10-digit identifier.
Active or inactive — what applies to DR. KEVIN JAN CHAN (MD)?
You should see DR. KEVIN JAN CHAN (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. KEVIN JAN CHAN (MD)?
At a glance, DR. KEVIN JAN CHAN (MD) is tied to Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KEVIN JAN CHAN (MD)?
Travel planning: use Rancho Mirage, California as the reference point for DR. KEVIN JAN CHAN (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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