Individual provider Active NPI

Phyllis M Chen, MD

  • Internal Medicine Physician
  • Everett, MA
National Provider Identifier
1407800550
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223658 Issued in MA
Practice address
Emergency Dept., Whidden Memorial Hospital
103 Garland Street
Everett, MA 02149
Phone
(617) 389-6270
NPI assigned
May 22, 2006
Last updated
May 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 223658 MA
Internal Medicine Physician 207R00000X 223658 MA Primary

Addresses

Primary practice location

Emergency Dept., Whidden Memorial Hospital
103 Garland Street
Everett, MA 02149

Mailing address

Emergency Dept., Whidden Memorial Hospital
103 Garland Street
Everett, MA 02149
Phone (617) 389-6270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050624000989 MA Practitioner - Internal MedicinePractitioner - Emergency Medicine 4880652510 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates, Inc.Group PAC ID 6002946928, 155 clinicians

Practice addresses (Care Compare)

70 E St
Methuen, MA 01844-4597
Phone (978) 687-0151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as individual
Quality
84.62
Improvement activities
40
Cost
76.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223658MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Hallmark Health Urgent Care Physicians LLC Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Henry Heywood Memorial Hospital Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Athol Memorial Hospital Incorporated Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Apr 1, 2019 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Melrose Wakefield Emergency Physicians, Inc. Emergency Medicine CurrentSince May 20, 2005 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Midwest Emergency Associates de Paul LLC Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-3511

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

70 East St
Methuen, MA 01844
Phone (978) 682-1906

30 New Crossing Rd
Reading, MA 01867
Phone (781) 213-5500

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: pchen28569@tuftsmedicine.direct-ci.com

Organizations & group practices 10

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 1

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1407800550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EMERGENCY DEPT., WHIDDEN MEMORIAL HOSPITAL",
            "address_2": "103 GARLAND STREET",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "02149",
            "telephone_number": "617-389-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMERGENCY DEPT., WHIDDEN MEMORIAL HOSPITAL",
            "address_2": "103 GARLAND STREET",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "02149",
            "telephone_number": "617-389-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "PHYLLIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "223658",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

Verify at the official NPI Registry.