1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Specialist Technologist Cardiovascular
  6. NPI Profile

DOCTOR CHAN MEDICAL PRACTICE, PC
NPI 1376729426
Specialist/Technologist Cardiovascular - Cardiovascular Invasive Specialist in New York, NY

Active since January 18, 2008CLIA 33D0943339 · Waiver
202 CANAL ST STE 801, NEW YORK, NY 10013(212) 406-2301(212) 406-2359 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Doctor Chan Medical Practice, Pc NPPES

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

DOCTOR CHAN MEDICAL PRACTICE, PC (NPI 1376729426) is a healthcare organization registered as a cardiovascular invasive specialist in New York, New York and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Samuel S. Chan, President, as its authorized official.

NPPES Registry Identity

NPI1376729426
Entity TypeOrganization
Primary Taxonomy246XC2901X
Legal Business NameDOCTOR CHAN MEDICAL PRACTICE, PC
Location Address202 CANAL ST STE 801New York, NY 10013-4517
Mailing Address202 Canal St Ste 801New York, NY 10013-4517 · (212) 406-2301 · Fax (212) 406-2359
Phone(212) 406-2301
Fax(212) 406-2359
Organization SubpartNo
Authorized OfficialSamuel S. ChanPresident · (212) 406-2301
Enumeration DateJanuary 18, 2008
Last NPPES UpdateJanuary 8, 2016
✔ NPI 1376729426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist Cardiovascular · Cardiovascular Invasive SpecialistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246XC2901X
License✔ Licensed in NY · 193850
Definition
A cardiovascular sonography technologist operates special equipment to create images and conduct tests of the cardiovascular system. They work with physicians who view the images and test results to assess and diagnose medical conditions.
Also ListedInternal MedicineTaxonomy 207R00000X · License 193850 (NY)
202 CANAL ST STE 801, New York, NY 10013
Open in Google Maps ↗

Other Identifiers 3

Medicaid01617692NY
Medicare PIN013381
Medicare UPING20217

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Doctor Chan Medical Practice, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Doctor Chan Medical Practice, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Samuel Chan, M.D.
Cardiovascular Disease (Cardiology)
NPI 1841253267
202 CANAL ST SUITE 801
New York, NY 10013
(212) 406-2301
✔ PECOS✔ Accepts MedicareSame address
Ananth Shankar, M.D.
Cardiovascular Disease (Cardiology)
NPI 1811153695
2015 GRAND CONCOURSE
Bronx, NY 10453
(718) 299-7295
✔ PECOS11 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0943339

Doctor Chan Medical Practice PC · New York, NY
Active · expires Mar 25, 2028
CLIA Number33D0943339
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorDr. Samuel S. Chan
Laboratory Phone(212) 406-2301
Laboratory LocationDoctor Chan Medical Practice PC202 Canal Street, Suite 801, New York, NY 10013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Doctor Chan Medical Practice, PC's NPI number?

The NPI number for Doctor Chan Medical Practice, PC is 1376729426. It was assigned to this organization in the NPPES registry on January 18, 2008.

Where is Doctor Chan Medical Practice, PC located?

Doctor Chan Medical Practice, PC is located at 202 Canal St Ste 801, New York, NY 10013. The listed phone number is (212) 406-2301.

What is Doctor Chan Medical Practice, PC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist Cardiovascular, specializing in Cardiovascular Invasive Specialist, with taxonomy code 246XC2901X.

Is Doctor Chan Medical Practice, PC enrolled in Medicare?

Yes. Doctor Chan Medical Practice, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Doctor Chan Medical Practice, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Cardiovascular Disease (Cardiology), reassign their Medicare billing to Doctor Chan Medical Practice, PC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Doctor Chan Medical Practice, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0943339) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Doctor Chan Medical Practice, PC was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.