NPIMap

Individual provider Active NPI

Samuel Chen, MD, PH.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1396803474
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3125 Issued in TX
Practice address
9180 Bellaire Blvd
Suite E
Houston, TX 77036-4697
Phone
(713) 988-8860
Fax
(713) 988-8861
NPI assigned
Dec 4, 2006
Last updated
Oct 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3125 TX Primary

Addresses

Primary practice location

9180 Bellaire Blvd
Suite E
Houston, TX 77036-4697

Mailing address

PO Box 981095
Houston, TX 77098-8095
Phone (713) 988-8860

Other identifiers 1

IdentifierTypeStateIssuer
127043106MedicaidTX

Other names 1

  • Dr. Cheng Samuel Chen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100910000727 TX Practitioner - Internal Medicine 9739080946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9180 Bellaire Blvd E
Houston, TX 77036-4600
Phone (713) 988-8860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3125TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Current Accepting new patients
St. Johns Physician Associates, P.a. CurrentSince Sep 1, 2002 Accepting new patients

Locations

3139 W Holcombe Blvd
Houston, TX 77025
Phone (281) 276-7574

9180 Bellaire Blvd
Ste E
Houston, TX 77036
Phone (713) 988-8860

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHFCBD/Endpoint/GHFCBD
  • Direct secure messaging: samuel.chen@sjpa.eclinicaldirectplus.com
  • Direct secure messaging: schen20013@memorialhermann.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1396803474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 981095",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770988095",
            "telephone_number": "713-988-8860",
            "fax_number": "713-988-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 BELLAIRE BLVD",
            "address_2": "SUITE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364697",
            "telephone_number": "713-988-8860",
            "fax_number": "713-988-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127043106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHENG SAMUEL",
            "last_name": "CHEN",
            "prefix": "DR.",
            "credential": "MD, PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.