Alexander Chan, M.D.
Individual provider Active NPI Hematology (Pathology) Physician · New York, NY
NPI 1386937589 · NPPES record last updated May 20, 2019
Key facts
- NPI
- 1386937589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology (Pathology) Physician 207ZH0000X
- License
- 277764 (NY)
- Practice address
- 303 E 60TH St Apt 29F
New York, NY 10022-1524 - Phone
- (212) 263-5506
- NPI assigned
- May 20, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Pathology Group
Memorial Hematology Lymphoma Group
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
- NYU Langone Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.67 of 100
- Quality
- 70
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.57 of 100
- Quality
- 70.48
- Improvement activities
- 40
- Cost
- 69.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20190809002712 | NY | Practitioner - Pathology |
4587991757 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hematology Lymphoma Group | Current |
Accepting new patients | |
| Memorial Pathology Group | Current |
Accepting new patients | |
| Memorial Hematology Lymphoma Group | Current |
Accepting new patients |
Locations
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- achan18802@mskcc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | 277764 | NY | Yes |
Addresses
Primary practice location
303 E 60TH St Apt 29F
New York, NY 10022-1524
Mailing address
161 W Harrison St Unit 808
Chicago, IL 60605-1086
NPI Registry JSON
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1386937589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 W HARRISON ST UNIT 808",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606051086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E 60TH ST APT 29F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221524",
"telephone_number": "212-263-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "ALEXANDER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-20",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "NY",
"license": "277764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Emma Champness
- Eira M Chan Aragon
- Marisela Chan Liu
- Vivienne Wah Chan-Teng
- Alex Chan
- Alexander C Chan
- Alice Chan
- Alice Man Chan
- Alison Chan
- Alison Chan
All providers in New York, NY · Hematology (Pathology) Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2019. 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.