Active NPI
Tina Chen, MD
- Ophthalmology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R9737
- Practice address
- 1201 Summit Ave
Fort Worth, TX 76102-4413 - Phone
- (817) 332-2020
- Fax
- (817) 332-4797
- NPI assigned
- Apr 2, 2014
- Last updated
- Nov 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Ophthalmology Physician | 207W00000X | 036.145557 | IL | |
| Ophthalmology Physician | 207W00000X | 125065018 | IL | |
| Ophthalmology Physician | 207W00000X | R9737 | TX | Primary |
Addresses
Primary practice location
1201 Summit Ave
Fort Worth, TX 76102-4413
Mailing address
680 N Lake Shore Dr
Chicago, IL 60611-4546
Phone (312) 695-6868
Other practice location 1
809 W Harwood Rd Ste 304
Hurst, TX 76054-6246
Phone (817) 788-9303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401702201 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Cincinnati College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Summit Ave
Fort Worth, TX 76102-4413
Phone (817) 332-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 99.97
- Improvement activities
- 40
- Cost
- 75.57
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 91 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.145557 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Partners , PA | Ophthalmology | Current | Accepting new patients |
| Ophthalmic Partners, PA | Ophthalmology | Current | Accepting new patients |
Locations
5801 Oakbend Trl
Ste 100
Fort Worth, TX 76132
Phone (817) 346-2969
1201 Summit Ave
Ft Worth, TX 76102
Phone (817) 332-2020
809 W Harwood Rd
Ste 304
Hurst, TX 76054
Phone (817) 788-9303
804 Santa Fe Dr
Weatherford, TX 76086
Phone (817) 341-5609
Organizations & group practices 2
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.
-
dba Ophthalmology Associates
- Ophthalmology Physician
- Fort Worth, TX
- NPI 1356474050
-
- Ophthalmology Physician
- Granbury, TX
- NPI 1568541712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1679991053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-695-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 SUMMIT AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761024413",
"telephone_number": "817-332-2020",
"fax_number": "817-332-4797"
}
],
"practiceLocations": [
{
"address_1": "809 W Harwood Rd Ste 304",
"address_purpose": "LOCATION",
"city": "Hurst",
"state": "TX",
"postal_code": "760546246",
"country_code": "US",
"telephone_number": "817-788-9303",
"fax_number": "817-332-4797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "TINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-02",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036.145557",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "125065018",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "R9737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401702201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.