Colin Chan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME73079 Issued in FL

Practice address

12450 Roosevelt Blvd N
Suite 101
St Petersburg, FL 33716-1902

Phone

(727) 571-1688

Fax

(727) 572-0900

NPI assigned

Sep 19, 2005

Last updated

Mar 30, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Coast Primary Care LLCGroup PAC ID 6709041585, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075
• St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
• HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cchan188753@orlandohealth.medalliesdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/HIGJBA
• FHIR API: https://fhir4.healow.com/fhir/r4/HIGJBA/Endpoint/HIGJBA

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.

• West Coast Primary Care, LLC

  • Family Medicine Physician
  • Largo, FL
  • NPI 1528327087
  Medicare reassignment Care Compare group NPD
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD
• Suncoast Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • St Petersburg, FL
  • NPI 1497866537
  NPD (past)
• Suncoast Medical Clinic LLC

  • Clinical Medical Laboratory
  • St Petersburg, FL
  • NPI 1649397662
  NPD (past)
• Suncoast Medical Clinic LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1760664882
  NPD (past)

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

• Galen of Florida, Inc.

  dba HCA Florida St. Petersburg Hospital

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1518911031
  Care Compare affiliation
• St. Anthonys Hospital, Inc.

  dba St. Anthonys Hospital

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1427024942
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1194710871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 ROOSEVELT BLVD N STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161902",
            "telephone_number": "727-571-1688",
            "fax_number": "727-561-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 ROOSEVELT BLVD N",
            "address_2": "SUITE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161902",
            "telephone_number": "727-571-1688",
            "fax_number": "727-572-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "COLIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME73079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Olin Chamberlin, M.D.
• Colleen Chambers, MSN, APRN, CPNP
• Jennifer Rebecca Chambers, D.O.
• Wilfredo Chamizo, M.D.
• Champion Comprehensive Virtual Services LLC
• Daniel Tim Chan, DO
• Denise Michelle Chan, MD
• Mark Chan, DO, MS
• Rainer Quijada Chan, M.D.
• Sebrina Chan

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.