Individual provider Active NPI

Yicheng Chen, MD

  • Ophthalmology Physician
  • Kent, WA
National Provider Identifier
1124314653
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60738596 Issued in WA
Practice address
321 Ramsay Way Ste 107
Kent, WA 98032-4544
Phone
(206) 215-3850
Fax
(206) 215-3870
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD60738596 WA
Ophthalmology Physician 207W00000X MD60738596 WA Primary

Addresses

Primary practice location

321 Ramsay Way Ste 107
Kent, WA 98032-4544

Mailing address

22232 17TH Ave SE Ste 308
Bothell, WA 98021-7425
Phone (425) 296-3837

Other practice location 1

1229 Madison St Ste 620
Seattle, WA 98104-3304
Phone (206) 215-3850

Other practice location 2

1750 112th Ave NE Ste D050
Bellevue, WA 98004-3779
Phone (206) 215-3850

Other practice location 3

6100 219th St SW Ste 280
Mountlake Terrace, WA 98043-2222
Phone (206) 215-3850

Other identifiers 1

IdentifierTypeStateIssuer
2083808MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170828001243 WA Practitioner - Ophthalmology 9436460763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Northwest Retina PLLC 19 clinicians

Practice addresses (Care Compare)

321 Ramsay Way
Suite 107
Kent, WA 98032-4544
Phone (206) 215-3850

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60738596WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons, Inc., P.S. Ophthalmology CurrentSince Aug 28, 2017 Accepting new patients
The Retina Surgery Center LLC CurrentSince Sep 5, 2023 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Aug 28, 2017 Accepting new patients
Pacific Northwest Retina PLLC Retina Specialist CurrentSince Sep 1, 2021 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
The Retina Institute LLC Ophthalmology PastSince Jul 1, 2015 Accepting new patients

Locations

1750 112th Ave NE
Ste D050
Bellevue, WA 98004
Phone (425) 296-3837

3105 Old Fairhaven Pkwy
Ste C
Bellingham, WA 98225

22232 17th Ave SE
Ste 308
Bothell, WA 98021

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

321 Ramsay Way
Ste 107
Kent, WA 98032

6100 219th St SW
Ste 280
Mountlake Terrace, WA 98043

1229 Madison St
Ste 620
Seattle, WA 98104

1600 E Jefferson St
Ste 101
Seattle, WA 98122
Phone (206) 320-3100

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Interoperability endpoints

  • Direct secure messaging: yicheng.chenmd.p16@direct.proliance.nextgenshare.com
  • Direct secure messaging: yicheng.chen.p16@direct.pnwr.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1124314653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22232 17TH AVE SE STE 308",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217425",
            "telephone_number": "425-296-3837",
            "fax_number": "206-215-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 RAMSAY WAY STE 107",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324544",
            "telephone_number": "206-215-3850",
            "fax_number": "206-215-3870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Madison St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043304",
            "country_code": "US",
            "telephone_number": "206-215-3850",
            "fax_number": "206-215-3870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 112th Ave NE Ste D050",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043779",
            "country_code": "US",
            "telephone_number": "206-215-3850",
            "fax_number": "206-215-3870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 219th St SW Ste 280",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980432222",
            "country_code": "US",
            "telephone_number": "206-215-3850",
            "fax_number": "206-215-3870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YICHENG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WA",
            "license": "MD60738596",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60738596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2083808",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.