NPIMap

Individual provider Active NPI

Yan Chen, MD, PHD

  • Gastroenterology Physician
  • Independence, MO
National Provider Identifier
1184627101
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2004007950 Issued in MO
Practice address
3800 S Whitney Ave
# 200
Independence, MO 64055-6765
Phone
(816) 478-4887
Fax
(816) 478-7222
NPI assigned
May 23, 2005
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2004007950 MO Primary

Addresses

Primary practice location

3800 S Whitney Ave
# 200
Independence, MO 64055-6765

Mailing address

17501 E 40 Hwy
Ste 213a
Independence, MO 64055-6445
Phone (816) 478-4887

Other practice location 1

2305 S Highway 65
Marshall, MO 65340-3702
Phone (660) 886-7431

Other identifiers 1

IdentifierTypeStateIssuer
209072305MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040828000012 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 1254306749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2305 S 65 Hwy
Marshall, MO 65340-3702

2305 S Hwy 65
Marshall, MO 65340-3702

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy78
Upper gastrointestinal (GI) endoscopy for acid reflux58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc CurrentSince Nov 1, 2024 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. Current Accepting new patients
Midwest Division - LRHC LLC CurrentSince Jan 2, 2019 Accepting new patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince Nov 1, 2024 Accepting new patients
Digestive Health Specialists, LLC Gastroenterology CurrentSince Oct 1, 2015 Accepting new patients
Independence ASC LLC Past Accepting new patients
Independence ASC LLC Past Accepting new patients

Locations

1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695

17501 E US Highway 40
Ste 213A
Independence, MO 64055
Phone (816) 478-7887

3800 S Whitney Ave
Ste 100
Independence, MO 64055

3800 S Whitney Ave
Ste 200
Independence, MO 64055
Phone (816) 233-1629

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800

Interoperability endpoints

  • Direct secure messaging: yan.chen@cassregional.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1184627101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 E 40 HWY",
            "address_2": "STE 213A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556445",
            "telephone_number": "816-478-4887",
            "fax_number": "816-478-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S WHITNEY AVE",
            "address_2": "# 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556765",
            "telephone_number": "816-478-4887",
            "fax_number": "816-478-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 S Highway 65",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MO",
            "postal_code": "653403702",
            "country_code": "US",
            "telephone_number": "660-886-7431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YAN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2004007950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209072305",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.