Active NPI
Sydney Chan
- Audiologist
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 2415 Musgrove Rd Ste 306
Silver Spring, MD 20904-5205 - Phone
- (301) 384-5977
- NPI assigned
- Nov 18, 2019
- Reactivated
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
2415 Musgrove Rd Ste 306
Silver Spring, MD 20904-5205
Mailing address
6000 Merriweather Dr Unit 7050
Columbia, MD 21044-4464
Phone (916) 802-4625
Other practice location 1
3336 Bradshaw Rd Ste 140
Sacramento, CA 95827-2697
Phone (916) 245-4133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Pacific Medical College, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2440 M St NW
801 Henry B Fox MD
Washington, DC 20037-1474
Phone (202) 296-2440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01696 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients |
Locations
2440 M St NW
Ste 801
Washington, DC 20037
Phone (202) 296-2181
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
2415 Musgrove Rd
Ste 306
Silver Spring, MD 20904
Phone (240) 293-5791
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
Interoperability endpoints
- sydney.chan.1@8042.direct.athenahealth.com
Organizations & group practices 2
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.
-
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- Rockville, MD
- NPI 1811715436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1306482039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 MERRIWEATHER DR UNIT 7050",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210444464",
"telephone_number": "916-802-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 MUSGROVE RD STE 306",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209045205",
"telephone_number": "301-384-5977"
}
],
"practiceLocations": [
{
"address_1": "3336 Bradshaw Rd Ste 140",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958272697",
"country_code": "US",
"telephone_number": "916-245-4133",
"fax_number": "855-568-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-18",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"deactivation_date": "2024-11-27",
"reactivation_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.