Individual provider Active NPI

Douglas A. Chen, M..D.

  • Otology & Neurotology Physician
  • Pittsburgh, PA
National Provider Identifier
1295818599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
MD025303E Issued in PA
Practice address
420 E North Ave
Suite 402
Pittsburgh, PA 15212-4746
Phone
(412) 321-2480
Fax
(412) 321-4207
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X MD025303E PA Primary

Addresses

Primary practice location

420 E North Ave
Suite 402
Pittsburgh, PA 15212-4746

Mailing address

420 E. North Ave.
Suite 402
Pittsburgh, PA 15212
Phone (412) 321-2480

Other identifiers 2

IdentifierTypeStateIssuer
0011027940001MedicaidPA
143167OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040826001067 PA Practitioner - Otolaryngology 2466427141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.05 of 100Reported as individual
Quality
80.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Ear Associates PC Otology & Neurotology CurrentSince Jul 31, 1985 Accepting new patients
Pittsburgh Ear LLC PastSince Jan 2, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

200 James Pl
Ste 406
Monroeville, PA 15146
Phone (412) 321-2480

420 E North Ave
Ste 402
Pittsburgh, PA 15212
Phone (412) 321-2480

6041 Wallace Road Ext
Ste 110
Wexford, PA 15090
Phone (412) 321-2480

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295818599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E. NORTH AVE.",
            "address_2": "SUITE 402",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15212",
            "telephone_number": "412-321-2480",
            "fax_number": "412-321-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE",
            "address_2": "SUITE 402",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-321-2480",
            "fax_number": "412-321-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "DOUGLAS",
        "middle_name": "A.",
        "credential": "M..D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "PA",
            "license": "MD025303E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011027940001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "143167",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.