Individual provider Active NPI

Andrew A Chen, MD

  • Ophthalmology Physician
  • Richland, WA
National Provider Identifier
1487761888
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ML20008491 Issued in WA
Practice address
475 Bradley Blvd
Richland, WA 99352-4419
Phone
(099) 432-2405
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 60095538 WA
Ophthalmology Physician 207W00000X ML20008491 WA Primary

Addresses

Primary practice location

475 Bradley Blvd
Richland, WA 99352-4419

Mailing address

PO Box 1529
Richland, WA 99352-1529
Phone (509) 943-2240

Other identifiers 1

IdentifierTypeStateIssuer
2002404MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address achen@river.integrityemrdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20090818000854 WA Practitioner - Ophthalmology 2163576679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Spectrum Eye Care PSGroup PAC ID 3375432636, 3 clinicians

Practice addresses (Care Compare)

475 Bradley Blvd
Richland, WA 99352-4419
Phone (509) 943-2240

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
82.94
Improvement activities
40
Cost
77.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60095538WAMDOphthalmology Physician
ML20008491WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Full Spectrum Eye Care, PS Ophthalmology CurrentSince Jan 1, 2020 Accepting new patients
Full Spectrum Eye Care, P.S. CurrentSince Jan 1, 2020 Accepting new patients
Full Spectrum Eye Care, P.S. Past Accepting new patients

Locations

475 Bradley Blvd
Richland, WA 99352
Phone (509) 895-4968

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1487761888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1529",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993521529",
            "telephone_number": "509-943-2240",
            "fax_number": "509-943-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BRADLEY BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524419",
            "telephone_number": "099-432-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANDREW",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "60095538",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "ML20008491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002404",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "achen@river.integrityemrdirect.com",
            "affiliation": "N",
            "address_1": "475 Bradley Blvd",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.