Luke B Chen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0163513 Issued in NY

Practice address

367 E Main St Ste a
Waterloo, NY 13165-1643

Phone

(315) 787-4977

NPI assigned

May 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: l.chen@flhmedical.medentdirect.com
• Direct secure messaging: flhmedical.cred@prldocs.com

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.

• FLH Medical, PC

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1215174644
  Medicare reassignment NPD
• Soldiers & Sailors Memorial Hospital

  • Critical Access Hospital
  • Penn Yan, NY
  • NPI 1215044516
  Medicare reassignment NPD
• FLH Medical, PC

  • Gastroenterology Physician
  • Geneva, NY
  • NPI 1164766325
  NPD
• Soldiers & Sailors Memorial Hospital

  • Emergency Medicine Physician
  • Penn Yan, NY
  • NPI 1043353618
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1700889243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 E MAIN ST STE A",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651643",
            "telephone_number": "315-787-4977",
            "fax_number": "315-787-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 E MAIN ST STE A",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651643",
            "telephone_number": "315-787-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Fall St",
            "address_purpose": "LOCATION",
            "city": "Seneca Falls",
            "state": "NY",
            "postal_code": "131481409",
            "country_code": "US",
            "telephone_number": "315-568-2606",
            "fax_number": "315-407-0061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LUKE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "0163513",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "0163513",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00944849",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FLHMedical.cred@prldocs.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "367 E Main St Ste A",
            "city": "Waterloo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131651643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Buttaggi
• Rosie Callaghan
• Lori Sandler Canada, LMSW
• Cindy Lou Carpenter, M.A/L.P.N
• Frank Joseph Catalano Jr., D.C.
• Claire Chmura, DPT, PT
• Richelle Leslie Cisco, R.N.
• Patrick Michael Clark, LMSW
• Ashley Coffey
• Kimberly Elaine Cohens, LPN

• Internal Medicine Physician in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.