Active NPI
Chun-Kit Chan, D.O.
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 202125
- Practice address
- 2 Mott St RM 305
New York, NY 10013-5097 - Phone
- (212) 791-6968
- Fax
- (212) 791-6983
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 202125 | NY | Primary |
Addresses
Primary practice location
2 Mott St RM 305
New York, NY 10013-5097
Mailing address
2 Mott St RM 305
New York, NY 10013-5097
Phone (212) 791-6968
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02164905 | Medicaid | NY | |
| WANQ41 | Other | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
128 Mott St
Suite 206 207
New York, NY 10013-5540
Phone (212) 680-0528
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 70.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chinatown True Care Medical PLLC | Internal Medicine | Current | Accepting new patients |
Locations
833 58th St
Brooklyn, NY 11220
Phone (718) 290-2919
4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068
128 Mott St
Ste 206207
New York, NY 10013
Phone (212) 680-0528
2 Mott St
Rm 305
New York, NY 10013
Phone (212) 791-6968
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- ckchan@1148.mdlanddirect.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1912567884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1730284308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MOTT ST RM 305",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100135097",
"telephone_number": "212-791-6968",
"fax_number": "212-791-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MOTT ST RM 305",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100135097",
"telephone_number": "212-791-6968",
"fax_number": "212-791-6983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "CHUN-KIT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "202125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02164905",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "WANQ41",
"state": null
}
],
"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 Jan 9, 2014; 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.