Hong Chen, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Centralia, IL
NPI 1023087152 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1023087152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 036109527 (IL)
- Practice address
- 400 N Pleasant Ave
Centralia, IL 62801-3056 - Phone
- (618) 436-5034
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Health Care Group
Physician Services Corporation of Southern Illinois Inc
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600
1003 E McCord St
Centralia, IL 62801-3345
Phone (618) 436-6633
10101 Woodfield LN
Saint Louis, MO 63132-2946
1250 W Whittaker St
Salem, IL 62881-1917
Phone (618) 548-3740
1259 W Robinson St
Wayne City, IL 62895-9672
Phone (618) 895-3181
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (314) 577-8475
1441 W Broadway
Centralia, IL 62801-5613
Phone (618) 532-9050
17884 Exchange Ave
Nashville, IL 62263-3418
Phone (618) 327-8486
2 Good Samaritan Way
Suite 320
Mount Vernon, IL 62864-2408
Phone (618) 899-1944
400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000
501 N Du Quoin St
Benton, IL 62812-1224
Phone (618) 435-5362
602 S 42ND St
Mount Vernon, IL 62864-6264
811 Fairfax St
Carlyle, IL 62231-1809
Phone (618) 594-3025
Hospital & facility affiliations
- Good Samaritan Regional HLTH Center
- SSM Health St Mary'S Hospital -Centralia
- SSM Health Saint Louis University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040317000611 | IL | Practitioner - Pathology | 9931099652 | Reassigns benefits to 2 organizations |
| I20250204001001 | MO | Practitioner - Pathology | 9931099652 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.109527 | IL | MD | Hematology (Pathology) Physician |
| 2003010141 | MO | MD | Hematology (Pathology) Physician |
| 036109527 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Physician Services Corporation of Southern Illinois Inc. | Current |
Accepting new patients | |
| SSM Health Care Group | Current |
Accepting new patients | |
| Pathology Services Inc. | Past |
Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
501 N Du Quoin St
Benton, IL 62812
Phone (618) 435-5362
811 Fairfax St
Carlyle, IL 62231
Phone (618) 594-3025
1003 E McCord St
Centralia, IL 62801
Phone (618) 436-5231
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
17884 Exchange Ave
Nashville, IL 62263
Phone (618) 327-8486
1402 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 577-8762
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
Interoperability endpoints
- hchen81707@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | 036.109527 | IL | |
| Hematology (Pathology) Physician | 207ZH0000X | 2003010141 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2003010141 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036109527 | IL | Yes |
Addresses
Primary practice location
400 N Pleasant Ave
Centralia, IL 62801-3056
Mailing address
9 Clearlake Dr
Centralia, IL 62801-3720
Phone (618) 532-7881
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hchen81707@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | hchen81707@direct-ehr-ssmhc.com | Other |
Other providers in Centralia, IL
- Centralia Anesthesiology Services LTD
- Centralia HS Dist 200
- Centralia School Dist 135
- Kourtney Chalke
- Jessica Lynn Chapman
- Nari Cho
- Cisco Counseling LLC
- Shelia Tyrell Cisco
- Washington Cisco
- Clarkson Optometry Illinois, P.C.
All providers in Centralia, IL · Anatomic Pathology & Clinical Pathology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.