DR. KEITH TED CHAN MD NPI 1295001972

NPI Information

  • NPI: 1295001972
  • Provider Name: DR. KEITH TED CHAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1304 FAWCETT AVE STE 100
    TACOMA, WA
    ZIP 98402
  • Phone: (253) 761-4200

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NPI Details

DR. Keith Ted Chan, MD is a diagnostic radiology radiology in Tacoma, WA with 14 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Keith Ted Chan, MD NPI is 1295001972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402-900
Phone: (253) 761-4200
Fax: (253) 761-4201

The NPI 1295001972 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond (HCPCS:36248)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 3/28/2012 and was last updated on 10/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyML 60286792WASHINGTONNo
22085R0204XRadiologyVascular & Interventional RadiologyMD60384220WASHINGTONNo
32085R0202XRadiologyDiagnostic RadiologyMD60384220WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12019235MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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