Individual provider Active NPI

Barry B.K. Chan, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rock Hill, SC
National Provider Identifier
1114900826
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
28435 Issued in SC
Practice address
200 S Herlong Ave Ste B
Rock Hill, SC 29732
Phone
(803) 324-1950
Fax
(803) 324-1933
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 9600879 NC
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 28435 SC Primary

Addresses

Primary practice location

200 S Herlong Ave Ste B
Rock Hill, SC 29732

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-5100

Other practice location 1

301 Hawthorne Ln Ste 200
Suite 200
Charlotte, NC 28204-2467
Phone (704) 316-5100

Other practice location 2

197 Piedmont Blvd Ste 100
Rock Hill, SC 29732-1824
Phone (803) 324-1950

Other practice location 3

25 Hospital Center Blvd Ste 306
Hilton Head Island, SC 29926-2739
Phone (843) 689-8224

Other identifiers 2

IdentifierTypeStateIssuer
N00879MedicaidSC
8921992MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171121003160 SC Practitioner - Thoracic Surgery 4587551569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Northwestern University Feinberg Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

197 Piedmont Blvd
Rock Hill, SC 29732-1824
Phone (803) 324-1950

200 Herlong Ave S
Rock Hill, SC 29732-1182

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 324-1950

222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 329-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.26 of 100Reported as group
Quality
84.96
Promoting interoperability
100
Improvement activities
40
Cost
72.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28435SCMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 23, 2017 Accepting new patients

Locations

25 Hospital Ctr
Ste 306
Hilton Head Island, SC 29926
Phone (843) 681-2074

197 Piedmont Blvd
Ste 100
Rock Hill, SC 29732
Phone (803) 324-1950

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

200 Herlong Ave S
Ste B
Rock Hill, SC 29732
Phone (803) 324-1950

200 Herlong Ave S
Ste E1
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • Direct secure messaging: barry.chan.1@14929.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 1

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1114900826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-5100",
            "fax_number": "704-316-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HERLONG AVE STE B",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-324-1950",
            "fax_number": "803-324-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Hawthorne Ln Ste 200",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042467",
            "country_code": "US",
            "telephone_number": "704-316-5100",
            "fax_number": "704-316-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "197 Piedmont Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321824",
            "country_code": "US",
            "telephone_number": "803-324-1950",
            "fax_number": "803-324-1933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Hospital Center Blvd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299262739",
            "country_code": "US",
            "telephone_number": "843-689-8224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BARRY",
        "middle_name": "B.K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "9600879",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "28435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00879",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8921992",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.