Benjamin Daniel Chan, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

24442 Issued in NH

Practice address

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

Phone

(603) 228-1521

NPI assigned

Mar 30, 2015

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, NJ2 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

Specialty

Diagnostic Radiology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians

Concord Imaging CenterGroup PAC ID 2466448030, 20 clinicians

X-Ray Professional AssociationGroup PAC ID 3375539927, 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 100Reported as group

Quality

80.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.3 of 100Reported as group

Quality

90.94

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Concord Imaging Center

  • Radiology Clinic/Center
  • Concord, NH
  • NPI 1700859451

  Single Specialty

  Medicare reassignment Care Compare group NPD
• X-Ray Professional Association

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1790758449

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ancillary Services of Practice Associates PA

  dba AMG Radiology

  • Diagnostic Radiology Physician
  • Morristown, NJ
  • NPI 1144858408

  NH, Single Specialty

  Medicare reassignment Care Compare group NPD
• Atlantic Imaging Services LLC

  • Diagnostic Radiology Physician
  • Morristown, NJ
  • NPI 1972114361
  NPD
• Hunterdon Ambulatory Services LLC

  dba Hunterdon Advanced Imaging at Bridgewater

  • Radiology Clinic/Center
  • Bridgewater, NJ
  • NPI 1184149031
  NPD
• Women's Healthcare Imaging, Corp.

  • Radiology Clinic/Center
  • Union, NJ
  • NPI 1285880153

  Single Specialty

  NPD

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
• Concord Hospital-Laconia

  • General Acute Care Hospital
  • Laconia, NH
  • NPI 1053495234
  Care Compare affiliation
• Concord Hospital-Laconia

  dba Concord Hospital-Laconia Professional Billing Service

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Hospital

  Care Compare affiliation
• Concord Hospital, Inc.

  • General Acute Care Hospital
  • Concord, NH
  • NPI 1215988530
  Care Compare affiliation
• Ahs Hospital Corp.

  dba Overlook Hospital

  • General Acute Care Hospital
  • Summit, NJ
  • NPI 1740254143
  Care Compare affiliation

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

{
    "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": "",
            "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": []
}

• Ann M Chalifour, APRN
• Walter E Chamberlain Jr., OPTICIAN
• Carrol Ann Chambers, MSW
• Dan Chambers
• Shannon Champagne
• Don P. Chan, MD
• Julie Haejung Chang, DMD
• Kai-Wei Chang, MD
• Steven Chang
• Changing Point Counseling, LLC

• Diagnostic Radiology Physician in Concord, NH
• Providers in Concord, NH by specialty
• Diagnostic Radiology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.