Individual provider Active NPI

Ang Chen, M.D.

  • Nephrology Physician
  • Flagstaff, AZ
National Provider Identifier
1497852404
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
33057 Issued in AZ
Practice address
2201 N Vickey St Ste 110
Flagstaff, AZ 86004-6126
Phone
(928) 213-9460
Fax
(928) 213-9465
NPI assigned
Sep 20, 2006
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 33057 AZ Primary

Addresses

Primary practice location

2201 N Vickey St Ste 110
Flagstaff, AZ 86004-6126

Mailing address

6622 N 91St Ave
Ste 220
Glendale, AZ 85305-2569
Phone (602) 759-6883

Other identifiers 1

IdentifierTypeStateIssuer
912635MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060313000495 TX Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Nephrology 8628058179 Reassigns benefits to 1 organization
I20070731000232 AZ Practitioner - Nephrology 8628058179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

2201 N Vickey St
Suite 110
Flagstaff, AZ 86004-6106
Phone (928) 213-9460

3320 N 2ND St
Phoenix, AZ 85012-2319
Phone (602) 200-8288

500 Indiana Ave
Winslow, AZ 86047-2169

500 N Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646

SWC Navajo Route 15 and 60
1 Medical Center Dr
Dilkon, AZ 86047-2169
Phone (928) 289-4646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33057AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology Current Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Sep 18, 2018 Accepting new patients
Dilkon Medical Center Current Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Sep 18, 2018 Accepting new patients
Akdhc, LLC Nephrology CurrentSince Sep 4, 2007 Accepting new patients
Akdhc, LLC Nephrology CurrentSince Sep 4, 2007 Accepting new patients
Akdhc Surgery Center, LLC Nephrology Past Accepting new patients
Four Corners Nephrology Associates PC Nephrology Past Accepting new patients
Four Corners Nephrology Associates PC Nephrology PastSince Mar 22, 2020 Accepting new patients

Locations (25 of 62)

213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330

525 S Watson Rd
Ste 180
Buckeye, AZ 85326

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

77 W Forest Ave
Ste 302
Flagstaff, AZ 86001
Phone (928) 213-9460

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 899-2199

16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131

18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277

5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171

6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

10238 E Hampton Ave
Ste 504
Mesa, AZ 85209
Phone (480) 380-7897

1520 S Dobson Rd
Ste 304
Mesa, AZ 85202
Phone (480) 899-0767

6553 E Baywood Ave
Ste 205
Mesa, AZ 85206
Phone (480) 396-9922

1209 W Target Range Rd
Ste 104
Nogales, AZ 85621
Phone (520) 882-0696

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

Interoperability endpoints

  • Direct secure messaging: ang.chen.1@11625.direct.athenahealth.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72546

Organizations & group practices 11

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 8

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1497852404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE",
            "address_2": "STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N VICKEY ST STE 110",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046126",
            "telephone_number": "928-213-9460",
            "fax_number": "928-213-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "33057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912635",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.