Yidong Chen, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

S7407 Issued in TX

Practice address

18780 Interstate 20
Canton, TX 75103-3593

Phone

(903) 567-7748

NPI assigned

May 19, 2016

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, TX2 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

Specialty

Emergency Medicine

Education

Texas Tech University Health Science Center School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment Care Compare group NPD
• Mother Frances Hospital Jacksonville

  dba CHRISTUS Mother Frances Hospital - Jacksonville

  • Critical Access Hospital
  • Jacksonville, TX
  • NPI 1952306672
  Medicare reassignment NPD
• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Medicare reassignment NPD
• CHI St Vincent Hospital Hot Springs

  • Emergency Medicine Physician
  • Hot Springs, AR
  • NPI 1790723021
  Medicare reassignment NPD
• Shiloh Emergency Group PLLC

  • Emergency Medicine Physician
  • Sherwood, AR
  • NPI 1205458189
  Medicare reassignment NPD
• CHI St Vincent Hospital Hot Springs

  • Psychiatric Hospital Unit
  • Hot Springs, AR
  • NPI 1619915949
  NPD

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

• Lake Pointe Operating Company, LLC

  dba Baylor Scott & White Medical Center Lake Pointe

  • General Acute Care Hospital
  • Rowlett, TX
  • NPI 1205018439
  Care Compare affiliation

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1275980237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18780 INTERSTATE 20",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751033593",
            "telephone_number": "903-567-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Werner St",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719136406",
            "country_code": "US",
            "telephone_number": "501-622-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YIDONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-19",
        "last_updated": "2021-03-23",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT210795",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-12174",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "37033",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S7407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cantonhealthcare Center
• Yan Cao
• Sherill Ann Pagdanganan Carreon, PT
• Carry on Mobile Physical Therapy PLLC
• Valarie M Chambless, FNP-C
• Milind Ranjit Chinoy, DO
• Sarah Elizabeth Chitty
• Christus Trinity Clinic Texas (Christus Trinity Clinic Canton RHC)
• Belinda Sue Collier, DC
• Tiffany Nicole Corbett, APRN, CPNP-PC

• Emergency Medicine Physician in Canton, TX
• Providers in Canton, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.