Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Sui Ki Chan, MD

Individual provider Emergency Medicine Physician · NPI 1376741256

Jack Sui Ki Chan, MD is an Emergency Medicine in Las Vegas, Nevada. Graduated from University of Vermont College of Medicine in 2007, 19 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Michigan and Washington.

Years since qualifying
19
Trained at
University of Vermont College of Medicine
Licensed in
MI, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1350 N Town Center Dr Unit 1033
Las Vegas, NV 89144-0577
Phone: (517) 899-5453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD60179402 (WA)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 4301090230 (MI)

Record details

NPI number1376741256
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2007
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020
Mailing address1350 N Town Center Dr Unit 1033, Las Vegas, NV 89144-0577

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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