Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DEREK VICTOR CHAN M.D., PH.D.
NPI 1932488574
Dermatology in New York, NY

Active since August 14, 2011PECOS Enrolled
928 BROADWAY STE 301, NEW YORK, NY 10010(212) 606-3780(212) 606-3785 Get Directions Write a Review

NPPES record last updated: September 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 26, 2026, Dec 13, 2023, Jul 6, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Derek Victor Chan M.d., Ph.d. NPPES

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

DR. DEREK VICTOR CHAN M.D., PH.D. (NPI 1932488574) is an individual dermatology provider in New York, New York, licensed in New York (279602) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with P H S Indian Hospital-ft Belknap At Harlem - Cah, and is a graduate of Boston University School Of Medicine (2007).

NPPES Registry Identity

NPI1932488574
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. DEREK VICTOR CHANCredential: M.D., PH.D.
Location Address928 BROADWAY STE 301New York, NY 10010-8156
Mailing Address928 Broadway Ste 301New York, NY 10010-8156 · (212) 606-3780 · Fax (212) 606-3785
Fax(212) 606-3785
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2007
Enumeration DateAugust 14, 2011
Last NPPES UpdateSeptember 26, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2026
✔ NPI 1932488574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in NY · 279602✔ Licensed in CO · DR.0055946
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
928 BROADWAY STE 301, New York, NY 10010

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. Derek Victor Chan M.d., Ph.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 ID9032346200
PECOS Enrollment IDI20151222001446, I20230329000461
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

P H S Indian Hospital-Ft Belknap At Harlem - Cah

Critical Access Hospitals · Harlem, MT
OwnershipGovernment - Federal
CMS Certification Number271315
Location456 Gros Ventre Ave, Rr 1Harlem, MT 59526 · Blaine County
Emergency services

P H S Indian Hospital Crow / Northern Cheyenne

Critical Access Hospitals · Crow Agency, MT
OwnershipGovernment - Federal
CMS Certification Number271339
Location1010 South 7650 East, Post Office Box 9Crow Agency, MT 59022 · Big Horn County
Emergency services

Eagle Butte Indian Health Service Hospital

Critical Access Hospitals · Eagle Butte, SD
OwnershipGovernment - Federal
CMS Certification Number431383
Location24276 166th Airport RoadEagle Butte, SD 57625 · Dewey County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 4

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

Dermatology
928 BROADWAY STE 301
NEW YORK, NY 10010
Physician Assistant
928 BROADWAY STE 301
NEW YORK, NY 10010
Physician Assistant
928 BROADWAY STE 301
NEW YORK, NY 10010
Physician Assistant
928 BROADWAY STE 301
NEW YORK, NY 10010

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 Derek Chan's NPI number?

The NPI number for Derek Chan is 1932488574. It was assigned to this individual provider in the NPPES registry on August 14, 2011.

Where is Derek Chan located?

Derek Chan practices at 928 Broadway Ste 301, New York, NY 10010. The listed phone number is (212) 606-3780.

What is Derek Chan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Derek Chan enrolled in Medicare?

Yes. Derek Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Derek Chan affiliated with any hospitals?

According to CMS data, Derek Chan is affiliated with P H S Indian Hospital-Ft Belknap At Harlem - Cah, P H S Indian Hospital Crow / Northern Cheyenne and Eagle Butte Indian Health Service Hospital.

When was this NPI record last updated?

The NPPES record for Derek Chan was last updated on September 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.