Individual provider Active NPI

Robert Jeen-Chen Chen, MD, MPH

  • Primary Care Clinic/Center
  • Hilliard, OH
National Provider Identifier
1407163819
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35.140204CTR Issued in OH
Practice address
2641 Amberwick PL
Hilliard, OH 43026-8894
Phone
(949) 247-1058
Fax
(949) 276-3180
NPI assigned
Sep 7, 2010
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1022045 MA
Primary Care Clinic/Center 261QP2300X 35.140204CTR OH Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 1022045 MA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35.140204CTR OH

Addresses

Primary practice location

2641 Amberwick PL
Hilliard, OH 43026-8894

Mailing address

4248 Rickeys Way Unit M
Palo Alto, CA 94306-5931
Phone (949) 247-1058

Other practice location 1

452 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-5502

Other practice location 2

361 Newbury St Fl 5
Boston, MA 02115-2727
Phone (949) 247-1058

Other identifiers 1

IdentifierTypeStateIssuer
0424824MedicaidOH

Other names 1

  • Dr. Jeen-Chen Chen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20201202002565 OH Practitioner - Cardiac Surgery 6002104205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santibanez Pac Ohio IncGroup PAC ID 7416391545, 36 clinicians

Practice addresses (Care Compare)

275 E Sunset Dr
Rittman, OH 44270-1165
Phone (330) 927-2060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1022045MAMDPrimary Care Clinic/Center
35.140204CTROHMDPrimary Care Clinic/Center

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1407163819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 RICKEYS WAY UNIT M",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943065931",
            "telephone_number": "949-247-1058",
            "fax_number": "949-276-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 AMBERWICK PL",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430268894",
            "telephone_number": "949-247-1058",
            "fax_number": "949-276-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-5502",
            "fax_number": "614-293-4726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "361 Newbury St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021152727",
            "country_code": "US",
            "telephone_number": "949-247-1058",
            "fax_number": "949-276-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ROBERT",
        "middle_name": "JEEN-CHEN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-07",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "1022045",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35.140204CTR",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "1022045",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35.140204CTR",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0424824",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEEN-CHEN",
            "last_name": "CHEN",
            "prefix": "DR.",
            "credential": "MD, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.