Individual provider Active NPI

Alan Stuart Chanales, MD

  • Pulmonary Disease Physician
  • Rockville, MD
National Provider Identifier
1093719023
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
29453 Issued in MD
Practice address
15225 Shady Grove Rd
Rockville, MD 20850-3254
Phone
(301) 330-0200
Fax
(301) 330-0202
NPI assigned
Jun 8, 2005
Reactivated
Mar 24, 2006
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 29453 MD
Pulmonary Disease Physician 207RP1001X 29453 MD Primary

Addresses

Primary practice location

15225 Shady Grove Rd
Rockville, MD 20850-3254

Mailing address

PO Box 1671
Cumberland, MD 21501-1671
Phone (240) 964-8568

Other practice location 1

12502 Willowbrook Rd
Cumberland, MD 21502-6491
Phone (240) 964-8750

Other practice location 2

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-7000

Other identifiers 1

IdentifierTypeStateIssuer
AC9227821MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050408000830 DC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7315984697 Practice locations: Rockville, MD
I20220407002209 MD Practitioner - Pulmonary Disease 7315984697 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Albert Einstein College of Medicine of Yeshiva University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifebridge Community Pulmonology LLCGroup PAC ID 8426274598, 5 clinicians

Practice addresses (Care Compare)

15225 Shady Grove Rd
Rockville, MD 20850-3254

15225 Shady Grove Rd
Suite 205
Rockville, MD 20850-3277
Phone (301) 330-0200

23 Crossroads Dr
Owings Mills, MD 21117-5420
Phone (410) 484-5686

Merit-based Incentive Payment System (MIPS)

Final score
15.87 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
52.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29453MDMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC Pulmonary Disease CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince May 2, 2022 Accepting new patients
Upmc Western Maryland Corporation Critical Care Medicine Current Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince May 2, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ajit P Kuruvilla MD LLC Critical Care Medicine Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-8724

12502 Willowbrook Rd
Ste 280
Cumberland, MD 21502
Phone (240) 964-8690

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1093719023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011671",
            "telephone_number": "240-964-8568",
            "fax_number": "240-964-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503254",
            "telephone_number": "301-330-0200",
            "fax_number": "301-330-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12502 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026491",
            "country_code": "US",
            "telephone_number": "240-964-8750",
            "fax_number": "240-964-8669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12500 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026393",
            "country_code": "US",
            "telephone_number": "240-964-7000",
            "fax_number": "240-967-8336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANALES",
        "first_name": "ALAN",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "29453",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "29453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC9227821",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.