Individual provider Active NPI

James S. Chen, M.D.

  • Diagnostic Radiology Physician
  • Federal Way, WA
National Provider Identifier
1659370328
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00042231 Issued in WA
Practice address
533 S 336TH St
Ste C
Federal Way, WA 98003-6329
Phone
(253) 661-1700
Fax
(253) 661-4565
NPI assigned
Jul 15, 2005
Last updated
Jan 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00042231 WA Primary

Addresses

Primary practice location

533 S 336TH St
Ste C
Federal Way, WA 98003-6329

Mailing address

PO Box 26730
Federal Way, WA 98093-3730
Phone (253) 661-1700

Other identifiers 1

IdentifierTypeStateIssuer
8362253MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050720000066 WA Practitioner - Diagnostic Radiology 7214964436 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00042231WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Radiology & Diagnostic Services, a Professional Services Corp Diagnostic Radiology CurrentSince Jul 1, 2003 Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

533 S 336th St
Ste C
Federal Way, WA 98003
Phone (253) 661-4755

24920 104th Ave SE
Kent, WA 98030
Phone (253) 395-1985

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

4033 Talbot Rd S
Ste 470
Renton, WA 98055
Phone (425) 656-5062

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1659370328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26730",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980933730",
            "telephone_number": "253-661-1700",
            "fax_number": "253-661-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S 336TH ST",
            "address_2": "STE C",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036329",
            "telephone_number": "253-661-1700",
            "fax_number": "253-661-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JAMES",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00042231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8362253",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.