IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Dr. Jack Chan

Anesthesiology - Pain Medicine

NPI: 1376170522Newington, New Hampshire, 03801(617) 372-4018Male

About Dr. Jack Chan

Dr. Jack Chan, MD, is a male healthcare professional specializing in Anesthesiology - Pain Medicine with a focus on Pain Medicine, registered under National Provider Identifier (NPI) number 1376170522.

Dr. Jack Chan received his medical education at OTHER, graduating in 2020. Their primary practice is located at 101 SHATTUCK WAY STE 6, Newington, New Hampshire 03801. Patients can reach the office at (617) 372-4018.

Dr. Jack Chan is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications. As a prescriber, Dr. Jack Chan has 13 prescription claims processed, totaling $365 in drug costs.

Dr. Jack Chan has been NPI-registered since 2020.

Key Metrics

Rx Claims

$365.34

Practice Locations

Doctor Details

Identity & Credentials

NPI Number: 1376170522
Entity Type: Individual
First Name: Jack
Last Name: Chan
Credential: MD
Gender: Male
Medical School: OTHER
Graduation Year: 2020
Sole Proprietor: Yes
Status: active

Primary Practice Location

Address: 101 SHATTUCK WAY STE 6
City: Newington
State: New Hampshire
ZIP: 03801-7876
Country: United States
Phone: (617) 372-4018

Specialty & Taxonomy

Primary Specialty: Anesthesiology - Pain Medicine
Classification: Anesthesiology
Specialization: Pain Medicine
Taxonomy Code: 207LP2900X

NPI Registration

Enumeration Date: Mar 26, 2020
Last Updated: Oct 15, 2025
Certification Date: Oct 15, 2025

Mailing Address

Address: 101 SHATTUCK WAY STE 6
City: NEWINGTON
State: NH
ZIP: 038017876

Medicare Enrollment

Medicare Enrolled: Yes
Can Order/Refer: Yes
Telehealth: No
Excluded: No

Prescriber Information

Authorized Prescriber: Yes
Total Rx Claims: 13
Total Rx Cost: $365.34
Opioid Prescriber Rate: 0.0%

Frequently Asked Questions

What is Dr. Jack Chan's NPI number?

Dr. Jack Chan's National Provider Identifier (NPI) is 1376170522. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Dr. Jack Chan specialize in?

Dr. Jack Chan specializes in Anesthesiology - Pain Medicine. They received their medical education at OTHER (class of 2020).

Where is Dr. Jack Chan located?

Dr. Jack Chan practices at 101 SHATTUCK WAY STE 6, Newington, New Hampshire 03801. You can reach them by phone at (617) 372-4018.

Does Dr. Jack Chan accept Medicare?

Yes, Dr. Jack Chan is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.

Does Dr. Jack Chan offer telehealth or virtual visits?

Dr. Jack Chan does not currently offer telehealth services. In-person visits are required at their practice location.

Can Dr. Jack Chan prescribe medications?

Yes, Dr. Jack Chan is an authorized prescriber. They have processed 13 prescription claims totaling $365.34.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Jack Chan is 1376170522.