MELISSA M. CHAN (M.D.) – Family Medicine Physician, NPI 1902031545
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MELISSA M. CHAN (M.D.)
1776 S MAIN ST
SALT LAKE CITY, UT 841151951
Phone: (801) 872-8846
Fax: (801) 449-0982
Type: Mailing
400 Adams St
Albany, CA 947061104
Phone: (510) 559-1200
Fax: (510) 525-4922
Type: Location
SLC-090, Santa Lúcia, São Paulo, Southeast Region, 14820-000, Brazil
SLC, UT 841092728
Phone: (801) 872-8846
Fax: (801) 449-0982
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $441.
Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($368).
Total Amount
$441
General + Research + Ownership
Payments
23
Total payment records
General Amount
$441
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $368 |
| Tris Pharma Inc | $35 |
| Ironshore Pharmaceuticals Inc. | $23 |
| Supernus Pharmaceuticals, Inc. | $14 |
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: 2017-09-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170908000866 | I | Hospitalist | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | UT | |
| Marriage And Family Therapist | UT | |
| Clinical Social Worker | UT | |
| Mental Health Counselor | UT | |
| Clinical Social Worker | UT | |
| Mental Health Counselor | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Mental Health Counselor | UT |
Reviews
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