Individual provider Active NPI

Kathy Diana Chen, MD

  • Pediatric Gastroenterology Physician
  • Philadelphia, PA
National Provider Identifier
1649352774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
MD-424334 Issued in PA
Practice address
Erie Avenue at Front Street
St. Christopher'S Hospital for Children, Gastro
Philadelphia, PA 19134
Phone
(215) 427-6778
Fax
(215) 427-6782
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X MD-424334 PA Primary

Addresses

Primary practice location

Erie Avenue at Front Street
St. Christopher'S Hospital for Children, Gastro
Philadelphia, PA 19134

Mailing address

329 Mulberry LN
Elkins Park, PA 19027-1610
Phone (215) 886-1379

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831001016 PA Practitioner - Pediatric MedicinePractitioner - Gastroenterology 3678548856 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-424334PAMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childen'S Health Care Associates Inc. CurrentSince Jul 1, 2020 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 24, 2021 Accepting new patients
Childrens Health Care Associates, Inc Pediatric Gastroenterology CurrentSince Jul 1, 2020 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Childrens Health Care Associates, Inc Current Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince Aug 24, 2021 Accepting new patients
Childrens Health Care Associates of New Jersey PC Past Accepting new patients

Locations

500 W Butler Ave
Chalfont, PA 18914
Phone (215) 997-5730

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

701 Ostrum St
Ste 102
Fountain Hill, PA 18015
Phone (484) 526-7575

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

Organizations & group practices 7

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649352774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MULBERRY LN",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271610",
            "telephone_number": "215-886-1379",
            "fax_number": "215-427-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ERIE AVENUE AT FRONT STREET",
            "address_2": "ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, GASTRO",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "215-427-6778",
            "fax_number": "215-427-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KATHY",
        "middle_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PA",
            "license": "MD-424334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.