Clayton V. Chan, MD
Individual provider Active NPI Medical Oncology Physician · Honolulu, HI
NPI 1346340239 · NPPES record last updated Oct 10, 2007
Key facts
- NPI
- 1346340239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- License
- MD-5800 (HI)
- Practice address
- 3288 Moanalua Rd
Honolulu, HI 96819-1469 - Phone
- (808) 432-0000
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- University of Hawaii John a. Burns School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hilo Benioff Medical Center
Practice addresses (Care Compare)
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
Hospital & facility affiliations
- Hilo Benioff Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- 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 |
|---|---|---|---|---|
| I20101025000318 | HI | Practitioner - Hematology/Oncology |
2365635273 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilo Benioff Medical Center | Current |
Accepting new patients | |
| Hilo Benioff Medical Center | Current |
Accepting new patients | |
| Hilo Benioff Medical Center | Past | Accepting new patients |
Locations
1285 Waianuenue Ave
#2
Hilo, HI 96720
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | MD-5800 | HI | Yes |
Addresses
Primary practice location
3288 Moanalua Rd
Honolulu, HI 96819-1469
Mailing address
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032537-01 | Medicaid | HI |
Other providers in Honolulu, HI
- Zakariya Champa
- Corinne Chan Nishina
- Arlene Chan
- Arthur CHI Fu Chan
- CHI Wing Chan
- Darwin Chan
- Edward Shei-Ahu Chan
- Eugenia Chan
- George H. C. Chan
- Gina Chan
All providers in Honolulu, HI · Medical Oncology Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2007. 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.