NPIMap

Individual provider Active NPI

Lei Chen, M.D.

  • Nephrology Physician
  • Albuquerque, NM
National Provider Identifier
1376875641
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD2015-0535 Issued in NM
Practice address
717 Encino PL NE
Suite 26
Albuquerque, NM 87102-2611
Phone
(505) 884-4545
Fax
(505) 884-4114
NPI assigned
Feb 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD2015-0535 NM Primary
Internal Medicine Physician 207R00000X MD2015-0535 NM

Addresses

Primary practice location

717 Encino PL NE
Suite 26
Albuquerque, NM 87102-2611

Mailing address

717 Encino PL NE
Suite 26
Albuquerque, NM 87102-2611
Phone (505) 884-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626002032 VA Practitioner - Nephrology 0143536672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peninsula Kidney Associates PCGroup PAC ID 1456348077, 8 clinicians

Practice addresses (Care Compare)

21 Manhattan SQ
Suite a
Hampton, VA 23666-6265
Phone (757) 251-7469

Hospital & facility affiliations

  • DaVita Merrimac Trail Dialysis Dialysis facility, Williamsburg, VA, CCN 492732
  • DaVita Two Rivers Dialysis Dialysis facility, West Point, VA, CCN 492686
  • DaVita Williamsburg Dialysis Dialysis facility, Williamsburg, VA, CCN 492651
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Kidney Associates PC Nephrology CurrentSince Jul 5, 2017 Accepting new patients
Peninsula Vascular Center, P.C. Nephrology Past Accepting new patients

Locations

501 Butler Farm Rd
Ste I
Hampton, VA 23666
Phone (757) 251-7469

21 Manhattan Sq
Ste A
Hampton, VA 23666
Phone (757) 251-7469

205 Bulifants Blvd
Ste A
Williamsburg, VA 23188
Phone (757) 345-5876

Interoperability endpoints

  • Direct secure messaging: lei.chen@direct.davitaphysiciansolutions.com

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 8

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": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1376875641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "SUITE 26",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-884-4545",
            "fax_number": "505-884-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "SUITE 26",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-884-4545",
            "fax_number": "505-884-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LEI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-11",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MD2015-0535",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2015-0535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.