Individual provider Active NPI

Kir-Wei Chen, M.D.

  • Obstetrics & Gynecology Physician
  • Coconut Creek, FL
National Provider Identifier
1356787832
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME127523 Issued in FL
Practice address
5350 W Hillsboro Blvd Ste 102
Coconut Creek, FL 33073
Phone
(954) 725-7660
Fax
(954) 725-7605
NPI assigned
May 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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 ME127523 FL Primary

Addresses

Primary practice location

5350 W Hillsboro Blvd Ste 102
Coconut Creek, FL 33073

Mailing address

5350 W Hillsboro Blvd Ste 102
Coconut Creek, FL 33073-4396
Phone (954) 725-7660

Other identifiers 1

IdentifierTypeStateIssuer
017123300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160922002288 FL Practitioner - Obstetrics/Gynecology 0648567396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Chen OB/GYN P.a.Group PAC ID 0446396261, 2 clinicians

Practice addresses (Care Compare)

5350 W Hillsboro Blvd
Suite 102
Coconut Creek, FL 33073-4396
Phone (954) 725-7660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127523FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Chen OB/GYN P.a. Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients
Dr. Chen OB/GYN P.a. PastSince Aug 1, 2016 Accepting new patients

Locations

5350 W Hillsboro Blvd
Ste 102
Coconut Creek, FL 33073
Phone (954) 725-7660

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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": "1368230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1356787832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 W HILLSBORO BLVD STE 102",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734396",
            "telephone_number": "954-725-7660",
            "fax_number": "954-725-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 W HILLSBORO BLVD STE 102",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-725-7660",
            "fax_number": "954-725-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KIR-WEI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-11",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME127523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017123300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.