Active NPI
Fred S Chen, M.D.
- Physical Medicine & Rehabilitation Physician
- Pittsburgh, PA
National Provider Identifier
1508806274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- G73894
- Practice address
- VA Pittsburgh Healthcare System
132Y-a
Pittsburgh, PA 15240 - Phone
- (412) 822-3130
- Fax
- (412) 822-3019
- NPI assigned
- Jun 8, 2006
- Last updated
- Aug 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | G73894 | CA | Primary |
Addresses
Primary practice location
VA Pittsburgh Healthcare System
132Y-a
Pittsburgh, PA 15240
Mailing address
611 Victoria LN
Wexford, PA 15090-8796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121227000390 | PA | Order and Referring Only - Physical Medicine and Rehabilitation | 2668653254 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1508806274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 VICTORIA LN",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA PITTSBURGH HEALTHCARE SYSTEM",
"address_2": "132Y-A",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15240",
"telephone_number": "412-822-3130",
"fax_number": "412-822-3019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "FRED",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "G73894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.