Active NPI
Cynthia Shaushin Chen, M.D.
- Emergency Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301107338
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109 - Phone
- (734) 936-4000
- NPI assigned
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301107338 | MI | Primary |
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | 4301107338 | MI |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
2799 W Grand Blvd
C.F.P #B046-Med Ed
Detroit, MI 48202-2608
Phone (313) 916-1601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3478
Hospital & facility affiliations
- Erie County Medical Center
- Kaleida Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301107338 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Emergency Medical Services Inc. | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Ub Family Medicine, Inc | Current | Accepting new patients |
Locations
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823
2372 Sweet Home Rd
Ste 3
Buffalo, NY 14228
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
Interoperability endpoints
- cchen719151@direct.med.umich.edu
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Buffalo, NY
- NPI 1972540482
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Critical Care Medicine (Internal Medicine) Physician
- Ann Arbor, MI
- NPI 1285659045
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1629464276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48109",
"telephone_number": "734-936-4000"
}
],
"practiceLocations": [
{
"address_1": "2799 W Grand Blvd",
"address_2": "C.F.P #B046-Med Ed",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022608",
"country_code": "US",
"telephone_number": "313-916-1601",
"fax_number": "313-916-8843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "CYNTHIA",
"middle_name": "SHAUSHIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301107338",
"primary": true
},
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "MI",
"license": "4301107338",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.