Individual provider Active NPI

Carol Connie Chen, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1083804769
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N8281 Issued in TX
Practice address
6621 Fannin St
Suite a-210/ MC 1-1481
Houston, TX 77030
Phone
(832) 824-5311
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N8281 TX Primary
Pediatrics Physician 208000000X A93232 CA

Addresses

Primary practice location

6621 Fannin St
Suite a-210/ MC 1-1481
Houston, TX 77030

Mailing address

6621 Fannin St
Suite a-210/ MC 1-1481
Houston, TX 77030
Phone (832) 824-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160613000555 CA Practitioner - Pediatric Medicine 7416132063 Reassigns benefits to 1 organization
I20160617001886 CA Practitioner - Emergency MedicinePractitioner - Internal Medicine 7416132063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Duke University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California San FranciscoGroup PAC ID 4486567229, 1,780 clinicians

Practice addresses (Care Compare)

400 Parnassus Ave
McB300
San Francisco, CA 94143-0810
Phone (415) 476-1000

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93232CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jun 1, 2016 Accepting new patients
University of California SFGH Medical Group CurrentSince Apr 1, 2016 Accepting new patients
University of California SFGH Medical Group CurrentSince Apr 1, 2016 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jun 1, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 1, 2016 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California San Francisco CurrentSince Jun 1, 2016 Accepting new patients
Harris County Hospital District Past Accepting new patients
University of California San Francisco Past Accepting new patients
Texas Children'S Hospital Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Texas Children'S Physician Group Pediatrics Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

550 16th St
#5153
San Francisco, CA 94158

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

1975 4th St
Fl 1
San Francisco, CA 94143
Phone (303) 918-4827

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
Ste S110
San Francisco, CA 94118

Interoperability endpoints

  • Direct secure messaging: cchen80373@direct-ucsfmedicalcenter.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1083804769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "address_2": "SUITE A-210/ MC 1-1481",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "832-824-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "address_2": "SUITE A-210/ MC 1-1481",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "832-824-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CAROL",
        "middle_name": "CONNIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N8281",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A93232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.