DENISE MICHELLE CHAN (MD) – Anesthesiology Physician, NPI 1417025859

DENISE MICHELLE CHAN (MD) is a healthcare provider. based in Oak lawn, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. A122571 (CA). The NPI Number for DENISE MICHELLE CHAN (MD) is 1417025859

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DENISE MICHELLE CHAN (MD)
NPI
1417025859
Phone
(708) 684-5745
Address
4440 W 95th St
Enumeration Date
2 December 2006
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
7086844393
Graduation Year
2004 (22 years ago)
PAC ID
8022189026
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20180710001736
Address ID
IL604532600OA4440XSTXX400

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
dchan276100@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness85
Years active:19State licenses:4Other namesUpdated within 12 months

2,633 ANESTHESIOLOGY in IL

Provider Addresses for DENISE MICHELLE CHAN (MD)

  • 4440 W 95th St

    Oak Lawn, IL 604532600

    Phone: (708) 684-5745

    Fax: (708) 684-4766

    Type: Location

  • 601, 5th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States

    5TH FLOOR, DEPT. 6941

    ST PETERSBURG, FL 337014804

    Phone: (530) 324-2678

    Type: Mailing

  • Johns Hopkins All Children's Hospital, 501, 6th Avenue South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States

    ST PETERSBURG, FL 337014634

    Phone: (530) 324-2678

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-03-02 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($51).

Total Amount

$51

General + Research + Ownership

Payments

1

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-07-10

PECOS data refreshed: 2026-05-27

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
I20180710001736IAnesthesiologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60453)

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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: 7810800935View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DENISE MICHELLE CHAN (MD)?
NPI 1417025859 is assigned to DENISE MICHELLE CHAN (MD) under the national enumeration system.
Is DENISE MICHELLE CHAN (MD) currently active in the NPI registry?
CMS-published data lists DENISE MICHELLE CHAN (MD) as an active registrant.
Can you summarize DENISE MICHELLE CHAN (MD)'s specialty in plain language?
Clinically, the directory lists DENISE MICHELLE CHAN (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DENISE MICHELLE CHAN (MD)?
The snapshot lists Oak Lawn, Illinois for DENISE MICHELLE CHAN (MD); download NPPES for the complete set.
Is DENISE MICHELLE CHAN (MD) a real provider?
This page reflects official NPPES data for NPI 1417025859. Always confirm identity and privileges with the practice and licensing boards.