NPIMap

Individual provider Active NPI

Jesse Chen, MD

  • Vascular & Interventional Radiology Physician
  • Durham, NC
National Provider Identifier
1669890794
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
2021-00557 Issued in NC
Practice address
4323 Ben Franklin Blvd Ste 700
Durham, NC 27704-2129
Phone
(919) 471-5905
NPI assigned
Apr 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 2021-00557 NC Primary

Addresses

Primary practice location

4323 Ben Franklin Blvd Ste 700
Durham, NC 27704-2129

Mailing address

237 12TH St Apt 2
Brooklyn, NY 11215-3919
Phone (243) 619-1272

Other practice location 1

110 Irving St NW
Dept of Surgery
Washington, DC 20010-3017
Phone (202) 877-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210513001669 NC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7911244389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Georgetown University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Health SystemGroup PAC ID 1052223757, 78 clinicians
Durham Radiology Associates IncGroup PAC ID 7719974807, 18 clinicians

Practice addresses (Care Compare)

1010 College St
Oxford, NC 27565-2507
Phone (919) 690-3237

1010 College St Diagnostic Radiology
Oxford, NC 27565-2507
Phone (919) 690-3000

3643 N Roxboro Rd
Durham, NC 27704-2702
Phone (919) 471-4840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-00557NCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Granville Health System Vascular & Interventional Radiology CurrentSince Apr 1, 2024 Accepting new patients
Granville Health System Current Accepting new patients
Durham Radiology Associates, Inc. CurrentSince Jul 1, 2021 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

4323 Ben Franklin Blvd
Ste 700
Durham, NC 27704
Phone (919) 471-5905

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

Interoperability endpoints

  • Direct secure messaging: jchen492484@direct.medicine.duke.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1669890794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 12TH ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153919",
            "telephone_number": "243-619-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 BEN FRANKLIN BLVD STE 700",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042129",
            "telephone_number": "919-471-5905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW",
            "address_2": "Dept of Surgery",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-3536",
            "fax_number": "202-877-3699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "2021-00557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.