Active NPI
Kyung Jang Chen, MD
- Interventional Pain Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 42932
- Practice address
- 5301 E. Grant Rd.
Orthopaedic BLDG, 1St Floor
Tucson, AZ 85712-8571 - Phone
- (520) 784-6200
- Fax
- (520) 784-6109
- NPI assigned
- Feb 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 42932 | AZ | Primary |
| Anesthesiology Physician | 207L00000X | R70298 | AZ |
Addresses
Primary practice location
5301 E. Grant Rd.
Orthopaedic BLDG, 1St Floor
Tucson, AZ 85712-8571
Mailing address
PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 525477 | Medicaid | AZ |
Other names 1
- John Chen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100818001245 | AZ | Practitioner - Pain Management | 5395879829 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Arizona College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tucson Orthopaedic Institute Professional CorporationIas Arizona PLLC
Practice addresses (Care Compare)
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 784-6200
Hospital & facility affiliations
- Tucson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R70298 | AZ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Orthopaedic Institute Professional Corporation | Current | Accepting new patients | |
| Tucson Orthopaedic Institute Professional Corporation | Current | Accepting new patients | |
| Ias Arizona PLLC | Anesthesiology | Current | Accepting new patients |
Locations
12315 N Vistoso Park Rd
Oro Valley, AZ 85755
Phone (520) 382-8180
6320 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 219-9125
10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366
5301 E Grant Rd
Bldg 1
Tucson, AZ 85712
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741
395 N Silverbell Rd
Ste 101
Tucson, AZ 85745
Phone (520) 882-0696
5301 E Grant Rd
Bldg 1ST
Tucson, AZ 85712
Organizations & group practices 6
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.
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- Orthopaedic Surgery Physician
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- Orthopaedic Surgery Physician
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Hospital & facility affiliations 1
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": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1700108925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31630",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857511630",
"telephone_number": "520-784-6200",
"fax_number": "520-784-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E. GRANT RD.",
"address_2": "ORTHOPAEDIC BLDG, 1ST FLOOR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857128571",
"telephone_number": "520-784-6200",
"fax_number": "520-784-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "KYUNG",
"middle_name": "JANG",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-16",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AZ",
"license": "42932",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "R70298",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525477",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "CHEN",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.