Kathleen Chan, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME132440 Issued in FL

Practice address

51 Crown St Apt 205
New Haven, CT 06510-3334

Phone

(203) 785-2802

NPI assigned

Aug 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NC2 enrollments

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 2

Specialty

Anesthesiology

Education

George Washington University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sarmc Anesthesia Specialist LLCGroup PAC ID 5294032413, 48 clinicians

SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
• Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

Merit-based Incentive Payment System (MIPS)

Final score

80.76 of 100Reported as group

Quality

78.69

Improvement activities

40

Cost

74.94

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sarmc Anesthesia Specialist LLC

  • Critical Care Medicine (Anesthesiology) Physician
  • Elizabeth City, NC
  • NPI 1295194397

  NC

  Medicare reassignment Care Compare group NPD
• SMG Anesthesia Specialists LLC

  • Anesthesiology Physician
  • Virginia Beach, VA
  • NPI 1518205004

  Anesthesiology, VA

  Medicare reassignment Care Compare group NPD
• Atlantic Anesthesia, Inc

  • Anesthesiology Physician
  • Virginia Beach, VA
  • NPI 1720181514

  Anesthesiology, VA

  Medicare reassignment NPD
• Consultants in Pain Management, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Virginia Beach, VA
  • NPI 1366545154

  Anesthesiology, VA

  Medicare reassignment NPD

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

• Sentara Albemarle Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth City, NC
  • NPI 1245211168

  Hospital

  Care Compare affiliation
• Sentara Hospitals

  • General Acute Care Hospital
  • Suffolk, VA
  • NPI 1376540138

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1922417211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100254",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100254",
            "telephone_number": "352-273-8870",
            "fax_number": "352-273-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CROWN ST APT 205",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103334",
            "telephone_number": "203-785-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME132440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Holly Champagne, RDH
• Hannah Oi Hay Chan, M.D.
• Hayley Chan, MD
• Isaac Chan, M.D.
• Isaac Hong Yui Chan, MD
• Lisa Chan, MD
• Winnie Chan, PA-C
• Yee Ting Chan
• John P Chandler II
• Sameer Pinheiro Lima Chandra, MD

• Anesthesiology Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Anesthesiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.