Kelley Chan
NPI 1801474911ActiveIndividual· Surgery· Maywood, IL
Surgery in Maywood, Illinois, licensed in IL, with an NPI issued in March 2021. Enrolled in Medicare as order and referring only - general surgery. Polynovo North America LLC was the largest of 4 companies reporting payments in 2025, $358.56 in all, mostly food and beverage.
Overview
| NPI | 1801474911 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 30, 2021 |
| Last updated in NPPES | Oct 22, 2025 |
| Certified by provider | Oct 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 036.166048 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - General Surgery (IL) |
|---|
Industry payments (Open Payments)
- 2025$358.56 · 4 payments from 4 companies
- 2024$137.89 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Polynovo North America LLC | $142.72 | 1 |
| Urgo Medical North America, LLC | $97.47 | 1 |
| Ethicon US, LLC | $60.35 | 1 |
| Davol Inc. | $58.02 | 1 |
What the 2025 payments were for
- Food and Beverage$358.56 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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