Individual provider Active NPI

Shiunru J. Chen, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1730442013
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
264586 Issued in MA
Practice address
53 State St
Boston, MA 02109-2820
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jun 21, 2012
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 264586 MA Primary

Addresses

Primary practice location

53 State St
Boston, MA 02109-2820

Mailing address

110 W Squantum St
North Quincy, MA 02171-2122
Phone (617) 376-3000

Other practice location 1

110 W Squantum St
North Quincy, MA 02171-2122
Phone (617) 376-3000

Other names 1

  • Shiunru Jessica Chen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20151019001325 MA Practitioner - Internal Medicine 7012148323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

53 State St
Suite 106
Boston, MA 02109-2820
Phone (617) 903-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264586MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc. Internal Medicine CurrentSince Sep 21, 2020 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Sep 21, 2020 Accepting new patients
Mass General Brigham Community Physicians Inc. Internal Medicine Current Accepting new patients
Mass General Brigham Community Physicians Inc. Internal Medicine Past Accepting new patients

Locations

185 Dartmouth St
Ste 603
Boston, MA 02116
Phone (617) 224-5351

28 State St
Ste 2860
Boston, MA 02109

53 State St
Ste 106
Boston, MA 02109

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1730442013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712122",
            "telephone_number": "617-376-3000",
            "fax_number": "617-690-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 STATE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092820",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Squantum St",
            "address_purpose": "LOCATION",
            "city": "North Quincy",
            "state": "MA",
            "postal_code": "021712122",
            "country_code": "US",
            "telephone_number": "617-376-3000",
            "fax_number": "617-690-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SHIUNRU",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "264586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIUNRU",
            "last_name": "CHEN",
            "middle_name": "JESSICA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.