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CHANNAN MD PA
NPI 1699344663
Family Medicine in Boca Raton, FL

Active since June 23, 2021CLIA 10D2230761 · Waiver
660 GLADES RD STE 140, BOCA RATON, FL 33431(561) 447-7737(561) 447-9022 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Channan Md Pa NPPES

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

CHANNAN MD PA (NPI 1699344663) is a healthcare organization registered as a family medicine in Boca Raton, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Gitanjli Channan, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1699344663
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHANNAN MD PA
Location Address660 GLADES RD STE 140Boca Raton, FL 33431-6466
Mailing Address660 Glades Rd Ste 140Boca Raton, FL 33431-6466 · (561) 447-7737 · Fax (561) 447-9022
Phone(561) 447-7737
Fax(561) 447-9022
Organization SubpartNo
Authorized OfficialGitanjli ChannanOwner/physician · (513) 316-7639
Enumeration DateJune 23, 2021
NPPES CertifiedJune 23, 2021
✔ NPI 1699344663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
660 GLADES RD STE 140, Boca Raton, FL 33431
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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 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Channan MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gitanjli Channan, MD
Family Practice
NPI 1336146570
4631 RIDGE AVE STE. B
Cincinnati, OH 45209
(513) 631-1268
✔ PECOS✔ Accepts Medicare917 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 10D2230761

Channan MD PA · Boca Raton, FL
Active · expires Jul 27, 2027
CLIA Number10D2230761
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorGitanjli Channon
Laboratory Phone(561) 447-7737
Laboratory LocationChannan MD PA660 Glades Road Suite 140, Boca Raton, FL 33431
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 Channan MD PA's NPI number?

The NPI number for Channan MD PA is 1699344663. It was assigned to this organization in the NPPES registry on June 23, 2021.

Where is Channan MD PA located?

Channan MD PA is located at 660 Glades Rd Ste 140, Boca Raton, FL 33431. The listed phone number is (561) 447-7737.

What is Channan MD PA's specialty?

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

Is Channan MD PA enrolled in Medicare?

Yes. Channan MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Channan MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Channan MD PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Channan MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2230761) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Channan MD PA was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.