JACK SUI KI CHAN (M.D.) – Emergency Medicine Physician, NPI 1376741256
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
520 EMERGENCY MEDICINE in NV
Provider Addresses for JACK SUI KI CHAN (M.D.)
1350 N TOWN CENTER DR UNIT 1033
LAS VEGAS, NV 891440577
Phone: (517) 899-5453
Mailing address matches the actual address.
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: 2021-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101011001131 | I | Emergency Medicine | WA | TBD |
| I20110202000040 | I | Emergency Medicine | NV | TBD |
| I20110316000467 | I | Emergency Medicine | AK | TBD |
| I20120820000757 | I | Emergency Medicine | OR | TBD |
| I20211115002024 | I | Emergency Medicine | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 168 | 165 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 110 | 107 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 33 | 28 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 30 | 26 | $0 |
Insurance plans in this area (ZIP 89144)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Emergency Medicine | ME | |
| Emergency Medicine | UT | |
| Emergency Medicine | TX | |
| Emergency Medicine | WA | |
| Emergency Medicine | IL | |
| Emergency Medicine | WA | |
| - | WA | |
| Emergency Medicine | WA | |
| - | WA |
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