Individual provider Active NPI

Qing Chen, MD

  • Nephrology Physician
  • Saint Louis, MO
National Provider Identifier
1164494530
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
109507 Issued in MO
Practice address
675 Old Ballas Rd Ste 104
Saint Louis, MO 63141-7083
Phone
(314) 993-4949
Fax
(314) 942-8695
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036-107706 IL
Nephrology Physician 207RN0300X 109507 MO Primary

Addresses

Primary practice location

675 Old Ballas Rd Ste 104
Saint Louis, MO 63141-7083

Mailing address

PO Box 411392
Saint Louis, MO 63141-1392
Phone (314) 993-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100220000392 MO Practitioner - NephrologyPractitioner - Internal Medicine 3476539289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12654 Lamplighter SQR Shppng Ctr
Saint Louis, MO 63128-2746
Phone (314) 729-7979

12855 N 40 Dr
Suite LL4
Saint Louis, MO 63141-8622
Phone (314) 542-0049

675 Old Ballas Rd
Suite 104
Saint Louis, MO 63141-7083
Phone (314) 993-4949

9632 Olive Blvd
Olivette, MO 63132-3002
Phone (314) 569-8902

Hospital & facility affiliations

  • DaVita Town and Country West Dialysis Dialysis facility, Saint Louis, MO, CCN 262648
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-107706ILMDNephrology Physician
109507MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NHS South LLC Nephrology Past Accepting new patients
Nephrology and Hypertension Specialists, LLC Nephrology Past Accepting new patients
Msa Alliance LLC Past Accepting new patients
Renex Dialysis Clinic of Creve Coeur, Inc. PastSince May 21, 2023 Accepting new patients

Organizations & group practices 5

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 5

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1164494530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411392",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631411392",
            "telephone_number": "314-993-4949",
            "fax_number": "314-942-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 OLD BALLAS RD STE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417083",
            "telephone_number": "314-993-4949",
            "fax_number": "314-942-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "QING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-107706",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "109507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.