Xin Paul Chen, M.D.
Individual provider Active NPI Internal Medicine Physician · Las Vegas, NV
NPI 1447593595 · NPPES record last updated Dec 10, 2021
Key facts
- NPI
- 1447593595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 16616 (NV)
- Practice address
- 2040 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2244 - Phone
- (702) 671-2341
- NPI assigned
- Mar 27, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211217000777 | MD | Practitioner - Family Practice | 5294057535 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16616 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensville Primary Care,Inc | Current |
Accepting new patients | |
| Owensville Primary Care, Inc | Internal Medicine | Current |
Accepting new patients |
Locations
134 Owensville Rd
West River, MD 20778
Phone (410) 867-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16616 | NV | Yes |
Addresses
Primary practice location
2040 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2244
Mailing address
134 Owensville Rd
West River, MD 20778-9702
Phone (702) 671-2341
Other providers in Las Vegas, NV
- Victoria Wei-Tze Chen
- Vinne Wei-Ying Chen
- Wesley Chen
- Wu Yi Chen
- Xiaoqin Chen
- Xing Ci Chen
- Xing Y Chen
- Xuexiang Chen
- Yanli Chen
- Yen Chu Chen
All providers in Las Vegas, NV · Internal Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.