Mako Chen, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Fort Smith, AR
NPI 1134433303 · NPPES record last updated Feb 25, 2020
Key facts
- NPI
- 1134433303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- NONE (CA)
- Practice address
- 7301 Rogers Ave
Fort Smith, AR 72903-4100 - Phone
- (479) 314-6000
- NPI assigned
- Jul 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of California, Geffen School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fands Physical Therapy, Inc
Mercy Clinic Fort Smith Communities
Practice addresses (Care Compare)
1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321
2717 S 74TH St
Fort Smith, AR 72903-5100
Phone (479) 573-3101
Hospital & facility affiliations
- Adoration Home Health
- Mercy Hospital Fort Smith
- Mercy Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140422002229 | AR | Practitioner - Physical Medicine and Rehabilitation | 3072747393 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | CA | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients | |
| Mercy Rehabilitation Hospital, LLC | Past | Accepting new patients |
Locations
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
2717 S 74th St
Fort Smith, AR 72903
Phone (479) 452-9080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NONE | CA | Yes |
Addresses
Primary practice location
7301 Rogers Ave
Fort Smith, AR 72903-4100
Mailing address
7301 Rogers Ave
Fort Smith, AR 72903-4100
Other names
- Michael Ma-Ko Chen
Other providers in Fort Smith, AR
- Rafay S Cheema
- Kiran Goushika Chellal Paramasivam
- Alicia D Chen
- Howland Chen
- Kevin Chen
- Suma Sri Chennapragada
- Bobbi Chenowith
- Joel Cheong
- Cheryl Edwards Preferred Counseling, P.a.
- James Leon Cheshier
All providers in Fort Smith, AR · Physical Medicine & Rehabilitation Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.