Active NPI
Christine Chan, DO
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
National Provider Identifier
1891114161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- H0084551
- Practice address
- 2401 W Belvedere Ave
Baltimore, MD 21215 - Phone
- (410) 601-9000
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | H0084551 | MD | Primary |
Addresses
Primary practice location
2401 W Belvedere Ave
Baltimore, MD 21215
Mailing address
2401 W Belvedere Ave
Schoeneman Building
Baltimore, MD 21215-5216
Phone (410) 601-5597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180830000892 | MD | Practitioner - Pain Management | 4082929898 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sinai Hospital of Baltimore, Inc
Practice addresses (Care Compare)
2401 E Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-6585
Hospital & facility affiliations
- Sinai Hospital of Baltimore
Merit-based Incentive Payment System (MIPS)
- Final score
- 46.82 of 100
- Quality
- 39.66
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0084551 | MD | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Single Specialty | Current | Accepting new patients |
| Sinai Hospital of Baltimore, Inc | Single Specialty | Current | Accepting new patients |
| Sinai Hospital of Baltimore Inc | Single Specialty | Current | Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
2411 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-5700
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 and National Provider Directory roles.
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
MD, Single Specialty
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Baltimore, MD
- NPI 1013275981
MD, Single Specialty
-
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
- NPI 1144245770
Single Specialty
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1891114161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"address_2": "SCHOENEMAN BUILDING",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "410-601-5597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21215",
"telephone_number": "410-601-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "CHRISTINE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "H0084551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.