Individual provider Active NPI

Maggie Chen, MD

  • Nephrology Physician
  • San Jose, CA
National Provider Identifier
1649470683
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A113157 Issued in CA
Practice address
2360 McKee Rd
Ste #10
San Jose, CA 95116-1618
Phone
(408) 729-7128
Fax
(408) 729-4125
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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 A113157 CA Primary

Addresses

Primary practice location

2360 McKee Rd
Ste #10
San Jose, CA 95116-1618

Mailing address

2360 McKee Rd
Ste #10
San Jose, CA 95116-1618
Phone (408) 729-7128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120706000525 CA Practitioner - NephrologyPractitioner - Internal Medicine 5799940250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2360 McKee Rd
Suite 10
San Jose, CA 95116-1618
Phone (408) 729-7128

Hospital & facility affiliations

  • SHC East San Jose Dialysis facility, San Jose, CA, CCN 052572
  • SHC San Jose LLC Dialysis facility, San Jose, CA, CCN 552767
  • DaVita Tully Dialysis Dialysis facility, San Jose, CA, CCN 552723
  • DaVita Cornerhouse Dialysis Center Dialysis facility, San Jose, CA, CCN 552608
  • DaVita Silicon Valley Dialysis Dialysis facility, San Jose, CA, CCN 552711
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Merit-based Incentive Payment System (MIPS)

Final score
99.89 of 100Reported as individual
Quality
85.56
Promoting interoperability
93
Improvement activities
40
Cost
86.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113157CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose Nephrology Medical Practice Nephrology CurrentSince Aug 1, 2014 Accepting new patients

Locations

2360 McKee Rd
Ste 10
San Jose, CA 95116
Phone (408) 729-7128

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10582/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mchen125592@santaclaravalley.direct-ci.net
  • Direct secure messaging: maggie.chen.1@10582.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1649470683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MCKEE RD",
            "address_2": "STE #10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161618",
            "telephone_number": "408-729-7128",
            "fax_number": "408-729-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MCKEE RD",
            "address_2": "STE #10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161618",
            "telephone_number": "408-729-7128",
            "fax_number": "408-729-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MAGGIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A113157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.