CHRISTIAN NICHOLAS CHAN (MD) – Surgery Physician, NPI 1649704172

CHRISTIAN NICHOLAS CHAN (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A175539 (CA). The NPI Number for CHRISTIAN NICHOLAS CHAN (MD) is 1649704172

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTIAN NICHOLAS CHAN (MD)
NPI
1649704172
Phone
(702) 671-2273
Address
1701 W CHARLESTON BLVD
Enumeration Date
11 April 2017
Last Update Date
5 June 2023

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7023834040
Graduation Year
2017 (9 years ago)
PAC ID
7214296060
Group Practice PAC ID
4082695069
Professional Enrollment ID
I20230808003365
Address ID
NV891280440LA7200XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

308 GENERAL SURGERY in NV

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Provider Addresses for CHRISTIAN NICHOLAS CHAN (MD)

  • West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States

    #400

    LAS VEGAS, NV 891022325

    Phone: (702) 671-2273

    Fax: (702) 385-9399

    Type: Mailing

  • 1111 SHADOW LN

    LAS VEGAS, NV 891022314

    Phone: (702) 383-4040

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $3,147.

Total Amount is formed as General ($3,147) + Research ($0) + Ownership ($0) = $3,147.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,594).

Total Amount

$3,147

General + Research + Ownership

Payments

32

Total payment records

General Amount

$3,147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2023-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220805000487IGeneral SurgeryCATBD
I20230808003365IGeneral SurgeryNVTBD

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
99202New patient office or other outpatient visit, 15-29 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 89102)

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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: 4082695069View full group profile

Reviews

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Frequently asked questions

Is CHRISTIAN NICHOLAS CHAN (MD) listed with a National Provider Identifier?
Yes — CHRISTIAN NICHOLAS CHAN (MD) has NPI 1649704172 on file in the registry.
Is there an active status for CHRISTIAN NICHOLAS CHAN (MD)?
For scheduling context, CHRISTIAN NICHOLAS CHAN (MD) is shown as active in the registry.
What expertise is attributed to CHRISTIAN NICHOLAS CHAN (MD)?
CHRISTIAN NICHOLAS CHAN (MD)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
Is CHRISTIAN NICHOLAS CHAN (MD) located near Las Vegas?
CHRISTIAN NICHOLAS CHAN (MD) currently maps to Las Vegas, Nevada in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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