Individual provider Active NPI

Jordan R Chanler-Berat, M.D.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1346536794
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
277263 Issued in MA
Practice address
418-420 5TH Avenue
Brooklyn, NY 11215
Phone
(516) 783-4600
Fax
(646) 846-3283
NPI assigned
Jun 23, 2011
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 277185 NY
Emergency Medicine Physician 207P00000X 2014-01244 NC
Emergency Medicine Physician 207P00000X 277263 MA Primary

Addresses

Primary practice location

418-420 5TH Avenue
Brooklyn, NY 11215

Mailing address

1345 RXR PLZ
Uniondale, NY 11556-1301
Phone (516) 783-4600

Other practice location 1

759 Chestnut Street
Springfield, MA 01107-1619
Phone (413) 794-3233

Other identifiers 2

IdentifierTypeStateIssuer
NC2168MedicaidSC
1346536794MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20190306002470 MA Practitioner - Emergency Medicine 1658590260 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2697

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 794-8121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
277263MAMDEmergency Medicine Physician
2014-01244NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes/National Emergency Physicians Inc Emergency Medicine CurrentSince Mar 6, 2024 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jan 21, 2019 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Sep 4, 2019 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 22, 2016 Accepting new patients
Western Mass Physician Associates Inc Current Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jan 21, 2019 Accepting new patients
Baystate Wing Hospital Corporation CurrentSince Sep 4, 2019 Accepting new patients
Baystate Wing Hospital Corporation CurrentSince Sep 4, 2019 Accepting new patients

Locations

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

40 Wright St
Palmer, MA 01069
Phone (413) 284-5210

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: jordan.chanler-berat.1@13063.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1346536794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301",
            "telephone_number": "516-783-4600",
            "fax_number": "646-846-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418-420 5TH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "516-783-4600",
            "fax_number": "646-846-3283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Chestnut Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071619",
            "country_code": "US",
            "telephone_number": "413-794-3233",
            "fax_number": "413-794-9060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANLER-BERAT",
        "first_name": "JORDAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "277185",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2014-01244",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "277263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2168",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346536794",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.