Active NPI
Chu J Chen, MD
- Pediatrics Physician
- Billerica, MA
National Provider Identifier
1073502985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 57307
- Practice address
- 221 Boston Rd
Suite 8
Billerica, MA 01862-2321 - Phone
- (978) 667-9611
- Fax
- (978) 667-2282
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 57307 | MA | Primary |
Addresses
Primary practice location
221 Boston Rd
Suite 8
Billerica, MA 01862-2321
Mailing address
221 Boston Rd
Suite 8
Billerica, MA 01862-2321
Phone (978) 667-9611
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 991492 | Other | NETWORK HEALTH PLAN | |
| 20580 | Other | MA | HARVARD PILGRIM |
| B10050701 | Other | MA | CIGNA HEALTHCARE |
| 12-00890 | Other | MA | UNITED HEALTHCARE |
| MDP003 | Other | SIGNA | |
| 3017711 | Other | MA | MASS HEALTH |
| 30200269 | Other | EDS FEDERAL CORPORATION | |
| J06555 | Other | MA | BCBS |
| 0019017 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 042484572003 | Other | MA | DISABILITY |
| 75519 | Other | MA | AETNA US HEALTH |
| 057307 | Other | MA | TUFTS HEALTH PLAN |
| 3017711 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57307 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tufts Medical Center Parent Inc | Past | Accepting new patients | |
| Merrimack Valley Pediatric Associates | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- chu.chen@mvpa.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/IECACA/Endpoint/IECACA
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Billerica, MA
- NPI 1982693891
-
- Pediatric Skilled Nursing Facility
- Billerica, MA
- NPI 1801832274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337904000000",
"number": "1073502985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 BOSTON RD",
"address_2": "SUITE 8",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018622321",
"telephone_number": "978-667-9611",
"fax_number": "978-667-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 BOSTON RD",
"address_2": "SUITE 8",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018622321",
"telephone_number": "978-667-9611",
"fax_number": "978-667-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "CHU",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2012-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "57307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH PLAN",
"identifier": "991492",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "20580",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "B10050701",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "12-00890",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIGNA",
"identifier": "MDP003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "3017711",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDS FEDERAL CORPORATION",
"identifier": "30200269",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J06555",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0019017",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISABILITY",
"identifier": "042484572003",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTH",
"identifier": "75519",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "057307",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3017711",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billerica, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.