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STANLEY CHAN MD
NPI 1295210763
Internal Medicine in Brooklyn, NY

Active since September 30, 2018PECOS Enrolled
7110 BAY PKWY, BROOKLYN, NY 11204(718) 484-7500 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Sep 30, 2018 (2 updates tracked since 2018).

About Stanley Chan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STANLEY CHAN MD (NPI 1295210763) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (325079) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1295210763
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTANLEY CHANCredential: MD
Location Address7110 BAY PKWYBrooklyn, NY 11204-6016
Mailing Address7110 Bay PkwyBrooklyn, NY 11204-6016 · (718) 484-7500
Phone(718) 484-7500
Sole ProprietorNo
Enumeration DateSeptember 30, 2018
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1295210763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 325079
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7110 BAY PKWY, Brooklyn, NY 11204
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Secondary Practice Location 1

Location 1743 58th StBrooklyn, NY 11220-3916 · Phone (718) 765-0088 ext. 50088

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stanley Chan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stanley Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Evergreen Family Medical Services,p.C.
2.2 mi
Family Medicine
743 58TH ST
Brooklyn, NY 11220
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Evergreen Family Medical Services PC
  • 5 clinicians in this Medicare group
NPI 1891761243 (718) 765-0088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stanley Chan's NPI number?

The NPI number for Stanley Chan is 1295210763. It was assigned to this individual provider in the NPPES registry on September 30, 2018.

Where is Stanley Chan located?

Stanley Chan practices at 7110 Bay Pkwy, Brooklyn, NY 11204. The listed phone number is (718) 484-7500.

What is Stanley Chan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stanley Chan enrolled in Medicare?

Yes. Stanley Chan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stanley Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Chan reassigns Medicare benefits to Evergreen Family Medical Services,p.C. (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stanley Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stanley Chan was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.