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

Active since March 28, 2013PECOS Enrolled
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: October 25, 2026.

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

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.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Chan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tiffany Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2,634 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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.

ELIZABETH BLACK-SUCHY CCC-SLP
Speech-Language Pathologist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 591-6767
ZACHARY OLIFF DO
Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
JACOB DYLAN WOLFE LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1646
SARAH-JO SANTILLI RN
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 272-6455
JULIE LYNNE MERCER
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 591-4212
TAIANA KATSARAS LICSW
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1185
ANGELA DE SILVA
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (617) 665-1000
RORY HAUSER
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Middlesex County (802) 595-9868

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 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.

Where is Tiffany Chan located?

Tiffany Chan practices at 1493 Cambridge St Department Of Psychiatry, Cambridge, MA 02139. The listed phone number is (617) 575-5366.

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.

Is Tiffany Chan enrolled in Medicare?

Yes. Tiffany Chan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiffany Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Chan reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Tiffany 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 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.