DR. JUAN JOSE GAN (MD) – Psychiatry Physician, NPI 1801001136

DR. JUAN JOSE GAN (MD) is a healthcare provider. based in Chester, Pennsylvania. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MT187199 (PA). The NPI Number for DR. JUAN JOSE GAN (MD) is 1801001136

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN JOSE GAN (MD)
NPI
1801001136
Phone
(610) 447-2000
Address
1 Medical Center Blvd
Enumeration Date
11 May 2007
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2673542894
Graduation Year
2004 (22 years ago)
PAC ID
7911226931
Group Practice PAC ID
9133587470
Professional Enrollment ID
I20150424000859
Address ID
PA190471818LA402XXBLVD303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,871 PSYCHIATRY in PA

Provider Addresses for DR. JUAN JOSE GAN (MD)

  • 1 Medical Center Blvd

    Crozer Chester Medical Dept of Psych, POB 1, suite 407,

    Chester, PA 190133902

    Phone: (610) 447-2000

    Type: Location

  • 3803 W CHESTER PIKE STE 160

    NEWTOWN SQUARE, PA 190732336

    Phone: (484) 337-1286

    Type: Mailing

  • 130 S BRYN MAWR AVE STE 160

    BRYN MAWR, PA 190103121

    Phone: (484) 337-1286

    Type: Location

  • The Boulevard, Riverlights, Little Chester, Derby, East Midlands, England, DE1 2BB, United Kingdom

    CROZER CHESTER MEDICAL DEPT OF PSYCH, POB 1, SUITE 407,

    CHESTER, PA 190133902

    Phone: (610) 447-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $255.

Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Alkermes, Inc. ($112).

Total Amount

$255

General + Research + Ownership

Payments

9

Total payment records

General Amount

$255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150424000859IPsychiatryPATBD
I20211214002553IPsychiatryRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19013)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133587470View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
P S Y C H I A T R YNC

Reviews

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Frequently asked questions

How do I look up DR. JUAN JOSE GAN (MD) by NPI?
Use NPI 1801001136 when you need to reference DR. JUAN JOSE GAN (MD) in forms, claims, or directories.
Does this profile mean DR. JUAN JOSE GAN (MD) is currently active?
Yes — DR. JUAN JOSE GAN (MD) appears active in the national provider directory.
Can you summarize DR. JUAN JOSE GAN (MD)'s specialty in plain language?
Clinically, the directory lists DR. JUAN JOSE GAN (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JUAN JOSE GAN (MD)?
We surface Chester, Pennsylvania for DR. JUAN JOSE GAN (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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