Individual provider Active NPI

Cyril XI Chen, MD, MBA

  • Emergency Medicine Physician
  • Germantown, MD
National Provider Identifier
1710246186
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD15563 Issued in RI
Practice address
21206 Watercress Cir
Germantown, MD 20876-5927
Phone
(301) 540-5741
NPI assigned
May 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD15563 RI Primary

Addresses

Primary practice location

21206 Watercress Cir
Germantown, MD 20876-5927

Mailing address

903 Providence PL Apt 151
Providence, RI 02903-7003
Phone (301) 529-7364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, RI, NH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160725001725 NY Practitioner - Emergency Medicine 1658664966 Reassigns benefits to 2 organizations
I20180319002404 RI Practitioner - Emergency Medicine 1658664966 Reassigns benefits to 1 organization
I20180425000312 NH Practitioner - Emergency Medicine 1658664966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tufts University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Hampshire Emergency Physician Associates PCGroup PAC ID 2668735580, 25 clinicians

Practice addresses (Care Compare)

240 S Main St
Wolfeboro, NH 03894-4411
Phone (856) 686-4316

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.17 of 100Reported as group
Quality
47.69
Improvement activities
40
Cost
79.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD15563RIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of New England PC Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince May 1, 2016 Accepting new patients
New Hampshire Emergency Physician Associates PC Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Exigence Medical of Binghamton PLLC CurrentSince May 1, 2016 Accepting new patients

Locations

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

Organizations & group practices 4

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 3

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1710246186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PROVIDENCE PL APT 151",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029037003",
            "telephone_number": "301-529-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21206 WATERCRESS CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765927",
            "telephone_number": "301-540-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CYRIL",
        "middle_name": "XI",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD15563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.