Individual provider Active NPI

Che-Nan Chuang, M.D.

  • Gastroenterology Physician
  • Flushing, NY
National Provider Identifier
1942287792
Registry record updated Nov 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
198622 Issued in NY
Practice address
13347 Sanford Ave
Suite 1C
Flushing, NY 11355-5800
Phone
(718) 461-9779
Fax
(718) 461-3454
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 198622 NY Primary

Addresses

Primary practice location

13347 Sanford Ave
Suite 1C
Flushing, NY 11355-5800

Mailing address

13347 Sanford Ave
Suite 1C
Flushing, NY 11355-5800
Phone (718) 461-9779

Other identifiers 1

IdentifierTypeStateIssuer
01579482MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000015 NY Practitioner - Gastroenterology 9830220169 Reassigns benefits to 2 organizations
Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Care PLLCGroup PAC ID 5496046864, 4 clinicians

Practice addresses (Care Compare)

13347 Sanford Ave
Suite 1D
Flushing, NY 11355-5816
Phone (718) 461-9779

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy51
Upper gastrointestinal (GI) endoscopy for acid reflux78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198622NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Endoscopy PLLC CurrentSince Dec 12, 2008 Accepting new patients
Dong-Hong Shong, M.D., P.C. PastSince May 14, 2024 Accepting new patients
Booth Medical Associates PC Gastroenterology Past Accepting new patients

Locations

13347 Sanford Ave
Ste 1C
Flushing, NY 11355
Phone (718) 461-9779

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290902400000",
    "number": "1942287792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE",
            "address_2": "SUITE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555800",
            "telephone_number": "718-461-9779",
            "fax_number": "718-461-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE",
            "address_2": "SUITE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555800",
            "telephone_number": "718-461-9779",
            "fax_number": "718-461-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUANG",
        "first_name": "CHE-NAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "198622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01579482",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.