Active NPI
Chanel Kristina Harris, MD
- Cardiovascular Disease Physician
- New York, NY
National Provider Identifier
1518420488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0106131
- Practice address
- 525 E 68TH St
New York, NY 10065-4870 - Phone
- (718) 685-9275
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0106131 | MD | Primary |
Addresses
Primary practice location
525 E 68TH St
New York, NY 10065-4870
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-7900
Other practice location 1
24035 Three Notch Road
Hollywood, MD 20636-4871
Phone (301) 373-7900
Other practice location 2
10 St. Patrick's Drive
Waldorf, MD 20603-4527
Phone (301) 373-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0106131 | MD | MD | Cardiovascular Disease Physician |
Interoperability endpoints
- chanel.jonasmd.p2@direct.msmg.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1518420488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "20636",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870",
"telephone_number": "718-685-9275"
}
],
"practiceLocations": [
{
"address_1": "24035 Three Notch Road",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "MD",
"postal_code": "206364871",
"country_code": "US",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 St. Patrick's Drive",
"address_purpose": "LOCATION",
"city": "Waldorf",
"state": "MD",
"postal_code": "206034527",
"country_code": "US",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "CHANEL",
"middle_name": "KRISTINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0106131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.