Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jie Chan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699271353

Jie Chan is a Family Practice in Dorchester, Massachusetts. Graduated from Boston University School of Medicine in 2018, 8 years ago. Practices with Beth Israel Deaconess Medical Center Inc, a 139-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
8
Trained at
Boston University School of Medicine
Licensed in
MA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

230 Bowdoin St
Dorchester, MA 02122-1817
Phone: (177) 540-1006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 287703 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699271353
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing address230 Bowdoin St, Dorchester, MA 02122-1817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Beth Israel Deaconess Medical Center Inc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dorchester