Individual provider Active NPI

Clara Chan, M.D.

  • Hematology & Oncology Physician
  • Silver Spring, MD
National Provider Identifier
1952338592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D41828 Issued in MD
Practice address
9801 Georgia Ave
Suite 337
Silver Spring, MD 20902-5276
Phone
(301) 681-4600
Fax
(301) 681-4648
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D41828 MD Primary

Addresses

Primary practice location

9801 Georgia Ave
Suite 337
Silver Spring, MD 20902-5276

Mailing address

7001 Bybrook LN
Chevy Chase, MD 20815-3166
Phone (301) 656-1831

Other identifiers 6

IdentifierTypeStateIssuer
3601884OtherUNITED HEALTHCARE
910976OtherMDMAMSI
OC22CSOtherMDCAREFIRST BCBS OF MARYLAN
0004140133OtherAETNA
3000099OtherAMERICHOICE
50740001OtherDCBCBS NATIONAL CAPITAL ARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20091202000144 DC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7517006752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
George Washington University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9801 Georgia Ave
Suite 337
Silver Spring, MD 20902-5276
Phone (301) 681-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D41828MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clara S.P. Chan, MD, PC Hematology & Oncology CurrentSince Jul 25, 1991 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9801 Georgia Ave
Ste 337
Silver Spring, MD 20902
Phone (301) 681-4600

Organizations & group practices 2

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952338592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 BYBROOK LN",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153166",
            "telephone_number": "301-656-1831",
            "fax_number": "301-656-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE",
            "address_2": "SUITE 337",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-681-4600",
            "fax_number": "301-681-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CLARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D41828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3601884",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "910976",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MARYLAN",
            "identifier": "OC22CS",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004140133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "3000099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NATIONAL CAPITAL ARE",
            "identifier": "50740001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.