Individual provider Active NPI

Chang Wen Chen, MD

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1033220314
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD27018 Issued in TN
Practice address
10430 Lovell Center Dr
Knoxville, TN 37922-3227
Phone
(865) 693-6882
Fax
(865) 693-2909
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD27018 TN Primary

Addresses

Primary practice location

10430 Lovell Center Dr
Knoxville, TN 37922-3227

Mailing address

10430 Lovell Center Dr
Knoxville, TN 37922-3227
Phone (865) 693-6882

Other identifiers 1

IdentifierTypeStateIssuer
3094584MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000009 TN Practitioner - General PracticePractitioner - Family Practice 3476739954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Alabama School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chang Wen Chen MD PCGroup PAC ID 7719156710, 2 clinicians

Practice addresses (Care Compare)

10430 Lovell Ctr Dr
Knoxville, TN 37922-3227
Phone (865) 693-6620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Dameron NP-C PC CurrentSince Jul 7, 2024 Accepting new patients
Chang Wen Chen MD PC Family Medicine CurrentSince Apr 1, 1997 Accepting new patients
First Care Medical Center PC Past Accepting new patients

Locations

10430 Lovell Center Dr
Knoxville, TN 37922
Phone (865) 693-6620

Interoperability endpoints

  • Direct secure messaging: cchen@482.securemail.prognocis.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033220314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 LOVELL CENTER DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223227",
            "telephone_number": "865-693-6882",
            "fax_number": "865-693-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 LOVELL CENTER DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223227",
            "telephone_number": "865-693-6882",
            "fax_number": "865-693-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHANG WEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD27018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094584",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.