Organization Active NPI

Chris Xiaoguang Chen MD PA

  • Cardiovascular Disease Physician
  • Sugar Land, TX
National Provider Identifier
1063522076
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CHRIS XIAOGUANG CHEN MD PA
Practice address
16659 Southwest Fwy Ste 101
Sugar Land, TX 77479-2351
Phone
(281) 313-0288
Fax
(281) 313-0008
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Ms. Lan Yang
Title
Cfo, Manager
Phone
(281) 313-0288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

16659 Southwest Fwy Ste 101
Sugar Land, TX 77479-2351

Mailing address

16659 Southwest Fwy Ste 101
Sugar Land, TX 77479-2351
Phone (281) 313-0288

Other identifiers 1

IdentifierTypeStateIssuer
174977201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050804000735 TX Part B Supplier - Clinic/Group Practice 4880623453 Receives reassigned benefits from 2 practitioners
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

1111 Highway 6
Ste 196
Sugar Land, TX 77478
Phone (281) 313-0288

16659 Southwest Fwy
Ste 101
Sugar Land, TX 77479
Phone (281) 313-0288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1063522076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY STE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792351",
            "telephone_number": "281-313-0288",
            "fax_number": "281-313-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY STE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792351",
            "telephone_number": "281-313-0288",
            "fax_number": "281-313-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS XIAOGUANG CHEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "CFO, MANAGER",
        "authorized_official_telephone_number": "281-313-0288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174977201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.