DR. CHARMAINE SAN YEE CHAN D.O.
NPI 1467648519
Family Medicine in Philadelphia, PA

Q: What is Charmaine Chan's NPI number?

The NPI number for Charmaine Chan is 1467648519. It was assigned to this individual provider in the NPPES registry on September 22, 2007.

Q: What is Charmaine Chan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Charmaine Chan was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 22, 2007PECOS EnrolledAccepts Medicare Assignment

4190 CITY AVE, SUITE 100, PHILADELPHIA, PA 19131(215) 871-6380(215) 871-6381 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2022, Jan 31, 2019, Jan 16, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Charmaine San Yee Chan D.o. NPPES

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

DR. CHARMAINE SAN YEE CHAN D.O. (NPI 1467648519) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS013824) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Philadelphia College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1467648519

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHARMAINE SAN YEE CHANCredential: D.O.

Location Address4190 CITY AVE, SUITE 100Philadelphia, PA 19131-1626

Mailing Address41 University Dr Ste 106Newtown, PA 18940-1873 · (610) 772-6889 · Fax (313) 887-1560

Phone(215) 871-6380

Fax(215) 871-6381

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2005

Enumeration DateSeptember 22, 2007

Last NPPES UpdateOctober 5, 20224 updates tracked since enumeration

NPPES CertifiedOctober 5, 2022

✔ NPI 1467648519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS013824

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License OS013824 (PA)

4190 CITY AVE, Philadelphia, PA 19131

Open in Google Maps ↗

Secondary Practice Location 1

Location 12630 Holme Ave Ste 101Philadelphia, PA 19152-3004 · Phone (267) 957-7027

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charmaine San Yee Chan D.o. 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 ID9032279807

PECOS Enrollment IDI20121207000107

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19131 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 20

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

ZEEL HEMANTBHAI PATEL M.B.B.S

Student in an Organized Health Care Education/Training Program