Dr Kevin Chan PC
NPI 1063640977 · Family Medicine Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr Kevin Chan PC is a Family Medicine Physician organization in Phoenix, AZ (NPI 1063640977).
Provider details
- NPI number
- 1063640977
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Chan, Owner(480) 577-8199
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pineapple Health
- Doing business as
- Pineapple Health
- Doing business as
- Pineapple Health Pv
Additional practice locations (1)
- 3196 N Windsong DrPrescott Valley, AZ 86314-2239Phone: (928) 772-1505Fax: (928) 772-6343
Registry dates
- Enumerated
- 2009-06-30
- Last updated
- 2022-07-07
- Certified
- 2022-07-07
Frequently asked questions
- What is Dr Kevin Chan PC's NPI number?
- Dr Kevin Chan PC's National Provider Identifier (NPI) is 1063640977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Kevin Chan PC?
- Dr Kevin Chan PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dr Kevin Chan PC located?
- Dr Kevin Chan PC's practice location on file with NPPES is 12010 S Warner Elliot Loop Ste 1, Phoenix, AZ 85044-2731.
- What is Dr Kevin Chan PC's phone number?
- The practice phone number listed in the NPPES registry for Dr Kevin Chan PC is (480) 961-2366.
- Does Dr Kevin Chan PC accept Medicare?
- Dr Kevin Chan PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr Kevin Chan PC?
- The authorized official listed on Dr Kevin Chan PC's NPPES record is Kevin Chan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Kevin Chan PC's NPI active?
- Yes — Dr Kevin Chan PC's NPI (1063640977) is active in the NPPES registry as of the last update on 2022-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.