Active NPI
Philip A Chan, MD
- Internal Medicine Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD12984
- Practice address
- 7 Central St
Providence, RI 02907-2201 - Phone
- (401) 621-8200
- Fax
- (917) 720-9002
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD12984 | RI | Primary |
Addresses
Primary practice location
7 Central St
Providence, RI 02907-2201
Mailing address
PO Box 6088
Providence, RI 02940-6088
Phone (401) 648-4700
Other practice location 1
164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-2928
Other practice location 2
1125 N Main St
Providence, RI 02904-5739
Phone (401) 793-2928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- University of Vermont College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7 Central St
Providence, RI 02907-2201
Phone (401) 648-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12984 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| The Rhode Island Public Health Foundation | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| Brown Medicine | Current | Accepting new patients | |
| Brown Medicine | Internal Medicine | Current | Accepting new patients |
| The Miriam Hospital | Current | Accepting new patients | |
| Brown Medicine | Internal Medicine | Past | Accepting new patients |
Locations
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191
7 Central St
Providence, RI 02907
Phone (401) 621-8200
593 Eddy St
Providence, RI 02903
1125 N Main St
Providence, RI 02904
Phone (401) 793-2928
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
17 Virginia Ave
Ste 107
Providence, RI 02905
Phone (401) 784-4923
375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJFJAA
- philip.chan.1@20649.direct.athenahealth.com
Organizations & group practices 8
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.
-
dba Open Door Health
- Clinic/Center
- Providence, RI
- NPI 1669024329
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1689626764
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Medical Specialty Clinic/Center
- Providence, RI
- NPI 1275810434
-
- Gastroenterology Physician
- Providence, RI
- NPI 1730827767
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
-
- Endocrinology, Diabetes & Metabolism Physician
- Riverside, RI
- NPI 1104564137
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1265658116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6088",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029406088",
"telephone_number": "401-648-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CENTRAL ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029072201",
"telephone_number": "401-621-8200",
"fax_number": "917-720-9002"
}
],
"practiceLocations": [
{
"address_1": "164 Summit Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029062853",
"country_code": "US",
"telephone_number": "401-793-2928",
"fax_number": "401-793-7401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1125 N Main St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029045739",
"country_code": "US",
"telephone_number": "401-793-2928",
"fax_number": "401-793-7401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "PHILIP",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD12984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.