Individual provider Active NPI

Kyung Jang Chen, MD

  • Interventional Pain Medicine Physician
  • Tucson, AZ
National Provider Identifier
1700108925
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
42932 Issued in AZ
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

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
525477MedicaidAZ

Other names 1

  • John Chen Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818001245 AZ Practitioner - Pain ManagementPractitioner - Anesthesiology 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 CorporationGroup PAC ID 5799671905, 108 clinicians
Ias Arizona PLLCGroup PAC ID 7517312648, 122 clinicians

Practice addresses (Care Compare)

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 784-6200

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R70298AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Orthopaedic Institute Professional Corporation CurrentSince Aug 1, 2021 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation CurrentSince Aug 1, 2021 Accepting new patients
Ias Arizona PLLC Anesthesiology CurrentSince Jun 15, 2024 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.

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

Verify at the official NPI Registry.