LIVIA CHAN – Physician Assistant, NPI 1295394112

LIVIA CHAN is a healthcare provider. based in Malden, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA7094 (MA). The NPI Number for LIVIA CHAN is 1295394112

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LIVIA CHAN
NPI
1295394112
Phone
(781) 854-6804
Address
162 Newland St
Enumeration Date
13 June 2019
Last Update Date
5 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
1456681311
Group Practice PAC ID
1658262969
Professional Enrollment ID
I20190919002685
Address ID
MA021111552Bo800XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for LIVIA CHAN

  • 162 Newland St

    Malden, MA 021488011

    Phone: (781) 854-6804

    Type: Location

  • Tufts Medical Center, 800, Washington Street, Chinatown, Financial District, Boston, Suffolk County, Massachusetts, 02111, United States

    BOSTON, MA 021111552

    Phone: (617) 636-5000

    Type: Mailing

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: 2019-09-19

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
I20190919002685IPhysician AssistantMATBD

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
69210Removal of impacted ear wax3837$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
99212Established patient office or other outpatient visit, 10-19 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 02148)

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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: 1658262969View full group profile
NameSpecialtyState
Physician AssistantMA
-MA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YNH
Physician AssistantMA
Physician AssistantMA
Physician AssistantNY
O T O L A R Y N G O L O G YNY
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

What number should I use to identify LIVIA CHAN for billing?
Administrative and clinical systems typically use NPI 1295394112 for LIVIA CHAN.
Is LIVIA CHAN's NPI status active today?
Active status means LIVIA CHAN's NPI record is not deactivated in the public file.
Which specialty label fits LIVIA CHAN?
NPPES ties LIVIA CHAN to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit LIVIA CHAN in Malden, Massachusetts?
For routing, start with Malden, Massachusetts for LIVIA CHAN, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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