TIFFANY CHAN M.D.
NPI 1780927624
Student in an Organized Health Care Education/Training Program in Cambridge, MA

Q: What is Tiffany Chan's NPI number?

The NPI number for Tiffany Chan is 1780927624. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Q: What is Tiffany Chan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Chan was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 28, 2013PECOS EnrolledAccepts Medicare Assignment

1493 CAMBRIDGE ST, DEPARTMENT OF PSYCHIATRY, CAMBRIDGE, MA 02139(617) 575-5366 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Jul 20, 2017 (2 updates tracked since 2017).

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About Tiffany Chan M.d. NPPES

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

TIFFANY CHAN M.D. (NPI 1780927624) is an individual student in an organized health care education/training program in Cambridge, Massachusetts and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (2013).

NPPES Registry Identity

NPI1780927624

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTIFFANY CHANCredential: M.D.

Location Address1493 CAMBRIDGE ST, DEPARTMENT OF PSYCHIATRYCambridge, MA 02139-1047

Mailing Address401 Quarry Rd, Rm 2208Stanford, CA 94305-5723

Phone(617) 575-5366

Sole ProprietorYes

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2013

Enumeration DateMarch 28, 2013

Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration

✔ NPI 1780927624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1493 CAMBRIDGE ST, Cambridge, MA 02139

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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

Tiffany Chan M.d. 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 ID2860795630

PECOS Enrollment IDI20190211003050

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.

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.

ZACHARY OLIFF DO

Emergency Medicine