Active NPI
Dong Chen
- Anatomic Pathology & Clinical Pathology Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 071456
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-0001 - Phone
- (860) 679-3107
- Fax
- (860) 679-1843
- NPI assigned
- Jun 1, 2015
- Last updated
- Nov 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2015014049 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 071456 | CT | Primary |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030-0001
Mailing address
263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-4165
Other practice location 1
1 Hospital Dr
Department of Pathology
Columbia, MO 65212-1000
Phone (573) 882-1201
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dchen61917@direct.med.uchc.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015014049 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Current | Accepting new patients | |
| Pathology Specialist of Arizona, LLP | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| University of Connecticut Health Center | Current | Accepting new patients | |
| Clin-Path Pathology | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| University of Connecticut Health Center | Past | Accepting new patients |
Locations
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
424 S 56th St
Ste 110
Phoenix, AZ 85034
Phone (480) 478-8057
424 S 56th St
Ste 120
Phoenix, AZ 85034
Phone (480) 478-8059
1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
Interoperability endpoints
- dchen110349@direct.phhs.org
- dchen61917@direct.med.uchc.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University Physicians
- General Practice Physician
- Farmington, CT
- NPI 1720083769
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1922079706
-
dba Pathology Specialist of Arizona
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1174503999
-
dba University Physicians
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Middletown, CT
- NPI 1154263713
-
- General Acute Care Hospital
- Farmington, CT
- NPI 1669466561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1356721781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060308082",
"telephone_number": "860-679-4165",
"fax_number": "860-676-3413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-3107",
"fax_number": "860-679-1843"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Dr",
"address_2": "Department of Pathology",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652121000",
"country_code": "US",
"telephone_number": "573-882-1201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "DONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-01",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "2015014049",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CT",
"license": "071456",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dchen61917@direct.med.uchc.edu",
"affiliation": "N",
"address_1": "263 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060300001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.