Individual provider Active NPI

Carolyn Chen, MD

  • Ophthalmology Physician
  • Shenandoah, TX
National Provider Identifier
1669671723
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P2613 Issued in TX
Practice address
1699 Research Forest Dr Ste 150
Shenandoah, TX 77380
Phone
(281) 363-2155
NPI assigned
Jul 17, 2007
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P2613 TX Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X P2613 TX

Addresses

Primary practice location

1699 Research Forest Dr Ste 150
Shenandoah, TX 77380

Mailing address

2855 Gramercy St Ste 400
Houston, TX 77025-1697
Phone (713) 668-6828

Other identifiers 1

IdentifierTypeStateIssuer
301401101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carolynchen@houstoneye.direct.eyemdemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120720000436 TX Practitioner - Ophthalmology 9436273588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hea Clinic PAGroup PAC ID 1254227440, 40 clinicians

Practice addresses (Care Compare)

1699 Research Forest Dr
Suite 150
Shenandoah, TX 77380-3685
Phone (281) 363-2155

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P2613TXMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hea Clinic PA Ophthalmology CurrentSince Sep 1, 2012 Accepting new patients
Hea Clinic, PA Ophthalmology CurrentSince Sep 1, 2012 Accepting new patients
Houston Optic PLLC PastSince Dec 15, 2020 Accepting new patients

Locations

333 N Rivershire Dr
Ste 160
Conroe, TX 77304
Phone (936) 441-2020

2855 Gramercy St
Houston, TX 77025
Phone (713) 668-1828

2855 Gramercy St
Ste 400
Houston, TX 77025

7155 Old Katy Rd
Ste N100
Houston, TX 77024

22659 Highway 59 N
Ste 100
Kingwood, TX 77339
Phone (281) 858-3937

1699 Research Forest Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 363-2071

5211 FM 2920 Rd
Ste 102
Spring, TX 77388
Phone (281) 444-1677

1111 Highway 6
Ste 120
Sugar Land, TX 77478
Phone (281) 565-2020

1447 Highway 6
Ste 110
Sugar Land, TX 77478
Phone (281) 565-2020

Interoperability endpoints

  • Direct secure messaging: carolynchen@houstoneye.direct.eyemdemr.com

Organizations & group practices 3

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1669671723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251697",
            "telephone_number": "713-668-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 RESEARCH FOREST DR STE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-363-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CAROLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P2613",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "P2613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301401101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carolynchen@houstoneye.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "direct message address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1699 Research Forest Dr Ste 150",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.