NPI Details
DR. Tak Chan, M.D. is an internal medicine in Flushing, NY with 31 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Tak Chan, M.D. NPI is 1265437842. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:1995
The provider's business location address is:
13338 41ST RD
STE 2C
FLUSHING, NY
ZIP 11355-661
Phone: (718) 445-7788
Fax: (718) 445-7789
The NPI 1265437842 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 33D1026993 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
The enumeration date for this NPI number is 6/20/2005 and was last updated on 12/14/2012.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 204551 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 01888839 | MEDICAID | NEW YORK | |
| 2 | G92609 | MEDICARE UPIN | NEW YORK | |
| 3 | 06481 | MEDICARE PIN | NEW YORK | |
