Matthew G Chan, MD
Individual provider Active NPI Family Medicine Physician · Portland, OR
NPI 1194067413 · NPPES record last updated May 2, 2017
Key facts
- NPI
- 1194067413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD171611 (OR)
- Practice address
- 3181 SW Sam Jackson Park Rd
Ohsu
Portland, OR 97239-3011 - Phone
- (503) 494-8211
- NPI assigned
- Mar 25, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Tufts University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Professional Services
Oregon Health and Science University
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
3930 SE Division St
Portland, OR 97202-1643
Phone (503) 418-3900
Hospital & facility affiliations
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170609002094 | OR | Practitioner - Family Practice | 3173764776 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD171611 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Healthcare | Family Medicine | Current | Accepting new patients |
| University Professional Services | Current |
Accepting new patients | |
| Tuality Healthcare | Current |
Accepting new patients | |
| University Professional Services | Current |
Accepting new patients | |
| Oregon Health & Science University | Current |
Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| Oregon Health & Science University | Current |
Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3930 SE Division St
Portland, OR 97202
Phone (503) 418-3900
51377 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 418-4222
Interoperability endpoints
- mchanmd80802@direct.ohsu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD171611 | OR | Yes |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Ohsu
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Ohsu
Portland, OR 97239-3011
Phone (503) 494-8211
Other providers in Portland, OR
- Joanne Chan
- Joe Mun-Jung Chan
- Johnny Chan
- Lai Chim Chan
- Lillian Chan
- Patrick J Chan
- Ping K Chan
- Shui Yen Chan
- Shuk Wai Chan
- Simon K Chan
All providers in Portland, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.