DR. KEITH TED CHAN (MD) – Diagnostic Radiology Physician, NPI 1295001972
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
Provider Addresses for DR. KEITH TED CHAN (MD)
202 N Division St
Auburn, WA 980014939
Phone: (253) 833-7711
Type: Location
1304 FAWCETT AVE STE 100
TACOMA, WA 984021900
Phone: (253) 761-4200
Fax: (253) 761-4201
Type: Location
400 S 43rd St
Renton, WA 980555714
Phone: (425) 690-1000
Type: Location
533 S 336TH ST STE C
FEDERAL WAY, WA 980036329
Phone: (253) 661-1700
Fax: (253) 661-4565
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $11,118.
Total Amount is formed as General ($11,118) + Research ($0) + Ownership ($0) = $11,118.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Boston Scientific Corporation ($10,662).
Total Amount
$11,118
General + Research + Ownership
Payments
34
Total payment records
General Amount
$11,118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $10,662 |
| Inari Medical, Inc. | $457 |
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: 2017-07-06
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 |
|---|---|---|---|---|
| I20170706002789 | I | Diagnostic Radiology | WA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 383 | 355 | $0 |
| 70450 | Ct scan head or brain without contrast | 176 | 173 | $0 |
| 71046 | X-ray of chest, 2 views | 154 | 153 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 125 | 119 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 107 | 106 | $0 |
Insurance plans in this area (ZIP 98001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | WI | |
| Physician Assistant | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Interventional Radiology, Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Physician Assistant | WA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | WA |
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