SANDY CHAN
NPI 1477014157
Student in an Organized Health Care Education/Training Program in Worcester, MA
About Sandy Chan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDY CHAN (NPI 1477014157) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandy Chan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sandy Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elmhurst, NY 11373
- Reassigned Medicare billing, New York enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Sandy Chan's NPI number?
The NPI number for Sandy Chan is 1477014157. It was assigned to this individual provider in the NPPES registry on March 26, 2019.
Where is Sandy Chan located?
Sandy Chan practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.
What is Sandy Chan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sandy Chan enrolled in Medicare?
Yes. Sandy Chan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sandy Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandy Chan reassigns Medicare benefits to Newtown Gastroenterology PC (Elmhurst, 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 Sandy 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 Sandy Chan was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Sandy Chan · NPI 1477014157
Student in an Organized Health Care Education/Training Program provider in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since March 26, 2019.
## Identity
- **NPI:** 1477014157 (Entity type: Individual)
- **Enumerated:** March 26, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 334-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Newtown Gastroenterology PC (NPI 1134868045, Elmhurst, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 26, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1477014157) · Data from the CMS NPPES public registry.