NPIMap

Individual provider Active NPI

Wayne Chen, MD

  • Internal Medicine Physician
  • Avon, CT
National Provider Identifier
1679640841
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
032520 Issued in CT
Practice address
44 Dale Road
Avon, CT 06001-4320
Phone
(860) 674-8830
Fax
(860) 674-8984
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 032520 CT Primary

Addresses

Primary practice location

44 Dale Road
Avon, CT 06001-4320

Mailing address

30 Jordan Lane
Wethersfield, CT 06109-7207
Phone (860) 263-0253

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wchen16890@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070315000341 CT Practitioner - Internal Medicine 4688777469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

44 Dale Rd
Avon, CT 06001-4315
Phone (860) 674-8830

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

  • McLean Home Care and Hospice Home health agency, Simsbury, CT, CCN 077166
  • Visiting Nurse & Hospice of Litchfield County, Inc. Home health agency, Winsted, CT, CCN 077089
  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Masters in Home Care, LLC Home health agency, Rocky Hill, CT, CCN 077264
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032520CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare (Sleep Lab) CurrentSince Apr 30, 2007 Accepting new patients
Prime Healthcare, PC Internal Medicine CurrentSince Apr 30, 2007 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine Past Accepting new patients

Locations

44 Dale Rd
Ste 204
Avon, CT 06001
Phone (860) 674-8830

44 Dale Rd
Avon, CT 06001
Phone (860) 674-8830

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • Direct secure messaging: wayne.chen.1@31712.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679640841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JORDAN LANE",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061097207",
            "telephone_number": "860-263-0253",
            "fax_number": "860-263-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DALE ROAD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014320",
            "telephone_number": "860-674-8830",
            "fax_number": "860-674-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wchen16890@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Prime Healthcare Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "44 Dale Road",
            "city": "Avon",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060014320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.