Ethan Chanan

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP500125704 Issued in DC

Practice address

3230 Pennsylvania Ave SE Ste 205
Washington, DC 20020-3731

Phone

(202) 796-9775

NPI assigned

Jun 4, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ethan.chanan.1@22627.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bluerock Primary Care

  • Adult Medicine Physician
  • Washington, DC
  • NPI 1831719806

  DC

  Medicare reassignment Care Compare group NPD

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

• Amedisys District of Columbia LLC

  • Home Health Agency
  • Washington, DC
  • NPI 1669426730
  Care Compare affiliation
• Medstar Washington Hospital Center

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1548378235

  Hospital

  Care Compare affiliation
• Amedisys Home Health of Maryland, LLC

  • Home Health Agency
  • Largo, MD
  • NPI 1831143908
  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bluerock Primary Care 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Washington, DC, CCN 097024
• Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
• Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1497596274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 PENNSYLVANIA AVE SE STE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 PENNSYLVANIA AVE SE STE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200203731",
            "telephone_number": "202-796-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANAN",
        "first_name": "ETHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP500125704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Zhen You Chan, MD, MBA
• Tiffany Chan, M.D.
• Monica W Chana
• Mutiaa Issa Chanaa
• Shravya Chanamolu, DO
• Jenisha Chance
• Kristin Chance
• Ali Chand, M.D.
• Aniyah Chandler
• Camille H Chandler, OTA/L

• All providers in Washington, DC
• Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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; Order and Referring.
• 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.

Verify at the official NPI Registry.