Individual provider Active NPI

Maren M Chan, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Antonio, TX
National Provider Identifier
1881772283
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
N8771 Issued in TX
Practice address
8534 Village Dr
San Antonio, TX 78217-5501
Phone
(617) 319-6667
NPI assigned
Nov 2, 2006
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X N8771 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X N8771 TX Primary

Addresses

Primary practice location

8534 Village Dr
San Antonio, TX 78217-5501

Mailing address

9225 Marymont Park
San Antonio, TX 78217
Phone (617) 319-6667

Other names 1

  • Dr. Maren M Twedt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140210000471 TX Practitioner - PathologyPractitioner - Cardiac Electrophysiology 3779712906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpesh D. Desai, DO, PAGroup PAC ID 8426055625, 27 clinicians

Practice addresses (Care Compare)

5756 S Staples St
J1 Corpus Christi
Corpus Christi, TX 78413-3793
Phone (361) 994-1001

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N8771TXMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpesh D. Desai, DO, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Austin Pathology Associates Anatomic Pathology & Clinical Pathology Past Accepting new patients
Nocturna of Waco LP PastSince Dec 12, 2017 Accepting new patients

Locations

5756 S Staples St
Ste J1
Corpus Christi, TX 78413
Phone (361) 994-1001

2120 Ashland St
Houston, TX 77008
Phone (713) 864-2659

8601 Village Dr
Ste 104
San Antonio, TX 78217
Phone (210) 654-6921

Organizations & group practices 4

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1881772283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 MARYMONT PARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "617-319-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8534 VILLAGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175501",
            "telephone_number": "617-319-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MAREN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "TX",
            "license": "N8771",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N8771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAREN",
            "last_name": "TWEDT",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.