Individual provider Active NPI

Melissa Man-Lai Chan, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1417912031
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
199616 Issued in NY
Practice address
139 Centre Street
Suite PH 104
New York, NY 10013-4559
Phone
(212) 343-2536
Fax
(212) 343-2537
NPI assigned
Apr 18, 2006
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 199616 NY Primary

Addresses

Primary practice location

139 Centre Street
Suite PH 104
New York, NY 10013-4559

Mailing address

139 Centre Street
Suite PH 104
New York, NY 10013-4559
Phone (212) 343-2536

Other identifiers 1

IdentifierTypeStateIssuer
01659732MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040319001616 NY Practitioner - Internal Medicine 4183515299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

139 Centre St
PH 104
New York, NY 10013-4559
Phone (212) 343-2536

Merit-based Incentive Payment System (MIPS)

Final score
89.97 of 100Reported as individual
Quality
70.9
Promoting interoperability
91
Improvement activities
40
Cost
86.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC Internal Medicine CurrentSince Mar 10, 2022 Accepting new patients
Ny Downtown Faculty Practice Opd PastSince Mar 1, 2006 Accepting new patients
New York Downtown Medical Associates Internal Medicine PastSince May 14, 2004 Accepting new patients
Nydh Physician Practice Internal Medicine PastSince Jan 1, 2010 Accepting new patients

Locations

13107 40th Rd
Ste E18
Flushing, NY 11354
Phone (718) 353-8050

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

139 Centre St
Ph 104
New York, NY 10013
Phone (212) 343-2536

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1417912031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE STREET",
            "address_2": "SUITE PH 104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134559",
            "telephone_number": "212-343-2536",
            "fax_number": "212-343-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE STREET",
            "address_2": "SUITE PH 104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134559",
            "telephone_number": "212-343-2536",
            "fax_number": "212-343-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MELISSA",
        "middle_name": "MAN-LAI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01659732",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.