Benjamin Daniel Chan, MD

Key facts

NPI

1134514904

Entity type

Individual (NPI type 1)

Primary specialty

Diagnostic Radiology Physician 2085R0202X

License

24442 (NH)

Practice address

2 1/2 Beacon St Ste 199
Concord, NH 03301-4447

Phone

(603) 228-1521

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

Yes

Organizations & group practices 6

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.

• Concord Imaging Center Radiology Clinic/Center · Concord, NH · NPI 1700859451
  Medicare reassignment Care Compare group NPD NH · SINGLE SPECIALTY
• X-Ray Professional Association Diagnostic Radiology Physician · Concord, NH · NPI 1790758449
  Medicare reassignment Care Compare group NPD NH · SINGLE SPECIALTY
• Ancillary Services of Practice Associates PA Diagnostic Radiology Physician · Morristown, NJ · NPI 1144858408
  Medicare reassignment Care Compare group NPD NH · NJ · SINGLE SPECIALTY
• Atlantic Imaging Services LLC Diagnostic Radiology Physician · Morristown, NJ · NPI 1972114361
  NPD DIAGNOSTIC RADIOLOGY
• Hunterdon Ambulatory Services LLC Radiology Clinic/Center · Bridgewater, NJ · NPI 1184149031
  NPD
• Women'S Healthcare Imaging, Corp. Radiology Clinic/Center · Union, NJ · NPI 1285880153
  NPD SINGLE SPECIALTY

Hospital & facility affiliations 5

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

• Concord Hospital-Franklin Critical Access Hospital · Franklin, NH · NPI 1700960895
  Care Compare affiliation Hospital
• Concord Hospital-Laconia General Acute Care Hospital · Laconia, NH · NPI 1053495234
  Care Compare affiliation Hospital
• Concord Hospital-Laconia Family Medicine Physician · Laconia, NH · NPI 1053993741
  Care Compare affiliation Hospital
• Concord Hospital, Inc. General Acute Care Hospital · Concord, NH · NPI 1215988530
  Care Compare affiliation Hospital
• Ahs Hospital Corp. General Acute Care Hospital · Summit, NJ · NPI 1740254143
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Diagnostic Radiology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ancillary Services of Practice Associates PA (99 clinicians)
Concord Imaging Center (20 clinicians)
X-Ray Professional Association (62 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concord Hospital- Laconia Hospital · Laconia, NH · CCN 300005
• Overlook Medical Center Hospital · Summit, NJ · CCN 310051
• Concord Hospital- Franklin Hospital · Franklin, NH · CCN 301306
• Concord Hospital Hospital · Concord, NH · CCN 300001

Merit-based Incentive Payment System (MIPS)

Final score

83.6 of 100 (group)

Quality

80.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.3 of 100 (group)

Quality

90.94

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in NH, NJ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 20, 2024.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1134514904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 AIRPORT RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015307",
            "telephone_number": "603-856-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 1/2 BEACON ST STE 199",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014447",
            "telephone_number": "603-228-1521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-971-5370",
            "fax_number": "973-290-7294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BENJAMIN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "24442",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12439900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Concord, NH · Diagnostic Radiology Physician in New Hampshire