Individual provider Active NPI

Ke Chen, M.D.

  • Emergency Medicine Physician
  • Iowa City, IA
National Provider Identifier
1144282328
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
32791 Issued in IA
Practice address
500 E Market St
Iowa City, IA 52245-2689
Phone
(319) 339-3600
Fax
(319) 339-3786
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036120320 IL
Family Medicine Physician 207Q00000X 32791 IA
Emergency Medicine Physician 207P00000X 32791 IA Primary

Addresses

Primary practice location

500 E Market St
Iowa City, IA 52245-2689

Mailing address

PO Box 5203
Coralville, IA 52241-0203
Phone (319) 855-3396

Other identifiers 4

IdentifierTypeStateIssuer
8185660MedicaidIA
1144282328OtherIABLUE SHIELD
1144282328MedicaidIA
40329OtherIABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20090121000488 IL Practitioner - Emergency MedicinePractitioner - Family Practice 4789748609 Reassigns benefits to 1 organization
I20090701000077 IA Practitioner - Emergency Medicine 4789748609 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Emergency Services LLCGroup PAC ID 3678837580, 8 clinicians
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5555

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32791IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Emergency Physicians LLP Emergency Medicine CurrentSince Aug 15, 2017 Accepting new patients
Iowa Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Iowa Emergency Services LLC Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Waterloo Emergency Physicians, LLC Emergency Medicine CurrentSince Nov 5, 2024 Accepting new patients
Genesis Health System CurrentSince May 1, 2008 Accepting new patients
Mercy Hospital, Iowa City, Iowa Emergency Medicine Past Accepting new patients

Locations

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

1600 Morgan St
Keokuk, IA 52632
Phone (319) 524-7150

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: kchen3930764@direct.trinity-health.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1144282328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5203",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522410203",
            "telephone_number": "319-855-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MARKET ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452689",
            "telephone_number": "319-339-3600",
            "fax_number": "319-339-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036120320",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "32791",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "32791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8185660",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1144282328",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144282328",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40329",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.