Individual provider Active NPI

Benjamin S. Chen, M.D.

  • Obstetrics & Gynecology Physician
  • Roseville, MI
National Provider Identifier
1245230457
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301061863 Issued in MI
Practice address
29751 Little Mack Ave
Suite B
Roseville, MI 48066-2238
Phone
(586) 415-6200
Fax
(586) 415-6217
NPI assigned
Jul 29, 2005
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301061863 MI Primary

Addresses

Primary practice location

29751 Little Mack Ave
Suite B
Roseville, MI 48066-2238

Mailing address

939 Bedford Rd
Grosse Pointe Park, MI 48230-1866
Phone (586) 415-6200

Other practice location 1

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1705

Other identifiers 2

IdentifierTypeStateIssuer
0E061676161OtherMIMEDICARE PROVIDER #
3393073MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bchen25210@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20051212000086 MI Practitioner - Obstetrics/Gynecology 6709807308 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Together Women's Health Medical Group, P.C.Group PAC ID 2466543640, 74 clinicians

Practice addresses (Care Compare)

16815 E Jefferson Ave
Suite 230
Grosse Pointe, MI 48230-1923
Phone (586) 415-6200

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (586) 415-6200

29751 Little Mack Ave
Roseville, MI 48066-6504
Phone (586) 415-6200

29751 Little Mack Ave
Suite B
Roseville, MI 48066-6503

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301061863MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jan 20, 2018 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Feb 27, 2018 Accepting new patients
Together Women's Health Medical Group, P.C. Obstetrics & Gynecology CurrentSince Jul 7, 1997 Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince Jan 20, 2018 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

16815 E Jefferson Ave
Ste 230
Grosse Pointe, MI 48230

114 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 771-2655

468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000

17900 23 Mile Rd
Ste 301
Macomb, MI 48044
Phone (586) 228-8874

1349 S Rochester Rd
Ste 125
Rochester Hills, MI 48307
Phone (248) 650-1534

29751 Little Mack Ave
Ste B
Roseville, MI 48066

3601 W 13 Mile Rd
Royal Oak, MI 48073

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: bchen1228643@epic00.shdirect.org
  • Direct secure messaging: bchen25210@direct.beaumont.edu
  • Direct secure messaging: benjamin.chen.1@23349.direct.athenahealth.com

Organizations & group practices 7

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 4

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1245230457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 BEDFORD RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301866",
            "telephone_number": "586-415-6200",
            "fax_number": "586-415-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29751 LITTLE MACK AVE",
            "address_2": "SUITE B",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662238",
            "telephone_number": "586-415-6200",
            "fax_number": "586-415-6217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "468 Cadieux Rd",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe",
            "state": "MI",
            "postal_code": "482301507",
            "country_code": "US",
            "telephone_number": "313-473-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "BENJAMIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301061863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "0E061676161",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3393073",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bchen25210@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "468 Cadieux Rd",
            "city": "Grosse Pointe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482301507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.