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DR. ENOCH CHUNG CHAN MD
NPI 1356309603
Internal Medicine in Bohemia, NY

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
1461 LAKELAND AVE UNIT 14, BOHEMIA, NY 11716(631) 218-8800(631) 218-8801 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Enoch Chung Chan Md NPPES

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

DR. ENOCH CHUNG CHAN MD (NPI 1356309603) is an individual internal medicine provider in Bohemia, New York, licensed in New York (200300) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1993).

NPPES Registry Identity

NPI1356309603
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ENOCH CHUNG CHANCredential: MD
Location Address1461 LAKELAND AVE UNIT 14Bohemia, NY 11716-2174
Mailing Address1461 Lakeland Ave Unit 14Bohemia, NY 11716-2174 · (631) 218-8800 · Fax (631) 218-8801
Phone(631) 218-8800
Fax(631) 218-8801
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1993
Enumeration DateMay 3, 2006
Last NPPES UpdateAugust 28, 2008
✔ NPI 1356309603 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 · 200300
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.
1461 LAKELAND AVE UNIT 14, Bohemia, NY 11716
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Other Identifiers 5

Medicare UPING62711NY
Medicaid01837470NY
Other1356309603NY · United Healthcare
Medicare PINWTW191NY
Medicare ID-Type Unspecified068AM1NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Enoch Chung Chan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678558038
PECOS Enrollment IDI20040621000604
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 Reassignments

3

Medicare enrollment records show Enoch Chan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federation Of Organizations For The Ny State Mentally Disabled Inc
3.9 mi
Adult Mental Health
456 WAVERLY AVE
Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 24 clinicians in this Medicare group
NPI 1902068240 (631) 447-6460
Outreach Development Corporation
38 mi
Addiction (Substance Use Disorder)
11711 MYRTLE AVENUE
Richmond Hill, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group
NPI 1083717326 (718) 847-9233
Samaritan Daytop Village, Inc.
43 mi
Mental Health (Including Community Mental Health Center)
2780 3RD AVENUE
Bronx, NY 10455
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1629440888 (718) 292-4640

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 11716 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEST CHOICE MEDICAL PC
Internal Medicine
1461 LAKELAND AVE UNIT 14
BOHEMIA, NY 11716
Suffolk County (631) 218-8800
BRIGHT BAY MEDICAL PLLC
Internal Medicine
1461 LAKELAND AVE UNIT 14
BOHEMIA, NY 11716
Suffolk County (631) 218-8800

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 Enoch Chan's NPI number?

The NPI number for Enoch Chan is 1356309603. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Enoch Chan located?

Enoch Chan practices at 1461 Lakeland Ave Unit 14, Bohemia, NY 11716. The listed phone number is (631) 218-8800.

What is Enoch Chan's specialty?

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

Is Enoch Chan enrolled in Medicare?

Yes. Enoch Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Enoch Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enoch Chan reassigns Medicare benefits to 3 organizations: Federation Of Organizations For The Ny State Mentally Disabled Inc (Patchogue, NY), Outreach Development Corporation (Richmond Hill, NY) and Samaritan Daytop Village, Inc. (Bronx, NY). Each 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 Enoch 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 Enoch Chan was last updated on August 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.