Individual provider Active NPI

Yung Chen, DO

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1366411845
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7694 Issued in TX
Practice address
8465 Boat Club Rd
Ste. 115
Fort Worth, TX 76179-3607
Phone
(817) 260-0535
Fax
(817) 984-1448
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7694 TX Primary

Addresses

Primary practice location

8465 Boat Club Rd
Ste. 115
Fort Worth, TX 76179-3607

Mailing address

8465 Boat Club Rd Ste 115
Fort Worth, TX 76179-3676
Phone (817) 260-0535

Other identifiers 3

IdentifierTypeStateIssuer
080172120OtherTXRAILROAD MEDICARE
8B2210OtherTXBCBS
143983802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100405000551 TX Practitioner - Family Practice 6800922584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Country Family Medicine PAGroup PAC ID 2769515568, 3 clinicians

Practice addresses (Care Compare)

8465 Boat Club Rd
Suite 115
Fort Worth, TX 76179-3676
Phone (817) 260-0535

Hospital & facility affiliations

  • DFW Home Health Home health agency, Fort Worth, TX, CCN 457575
  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Gramer DO PA Family Medicine CurrentSince Oct 1, 2010 Accepting new patients

Locations

8465 Boat Club Rd
Ste 115
Ft Worth, TX 76179
Phone (817) 260-0535

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.

Hospital & facility affiliations 2

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1366411845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 BOAT CLUB RD STE 115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793676",
            "telephone_number": "817-260-0535",
            "fax_number": "817-984-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 BOAT CLUB RD",
            "address_2": "STE. 115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793607",
            "telephone_number": "817-260-0535",
            "fax_number": "817-984-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YUNG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080172120",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B2210",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143983802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.