Active NPI
Thomas T Chen, MD, LTD
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1639344575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8155
- Legal business name
- THOMAS T CHEN, MD, LTD
- Practice address
- 653 N Town Center Dr
Suite 300
Las Vegas, NV 89144-0514 - Phone
- (702) 456-7255
- Fax
- (702) 456-7855
- NPI assigned
- Apr 22, 2008
- Last updated
- Apr 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Beverly Ann Roderick
- Title
- Practice Manager
- Phone
- (702) 456-7255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8155 | NV | Primary |
Addresses
Primary practice location
653 N Town Center Dr
Suite 300
Las Vegas, NV 89144-0514
Mailing address
PO Box 370908
Las Vegas, NV 89137-0908
Phone (702) 456-7255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003102382 | Medicaid | NV | |
| 002018182 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
653 N Town Center Dr
Ste 404
Las Vegas, NV 89144
Phone (702) 454-0014
653 N Town Center Dr
Ste 500
Las Vegas, NV 89144
Phone (702) 240-2200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1992875538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1639344575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370908",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891370908",
"telephone_number": "702-456-7255",
"fax_number": "702-456-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 N TOWN CENTER DR",
"address_2": "SUITE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891440514",
"telephone_number": "702-456-7255",
"fax_number": "702-456-7855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS T CHEN, MD, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "RODERICK",
"authorized_official_first_name": "BEVERLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "702-456-7255",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "8155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003102382",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002018182",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.