Individual provider Active NPI

Christopher Chen, MD

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1740371152
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME88821 Issued in FL
Practice address
1000 Park Centre Blvd
Suite 100
Miami, FL 33169-5373
Phone
(305) 621-0023
Fax
(305) 650-0674
NPI assigned
Sep 28, 2006
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME88821 FL
Internal Medicine Physician 207R00000X 36131595 IL
Cardiovascular Disease Physician 207RC0000X ME88821 FL Primary

Addresses

Primary practice location

1000 Park Centre Blvd
Suite 100
Miami, FL 33169-5373

Mailing address

1000 Park Centre Blvd
Suite 100
Miami, FL 33169-5373
Phone (305) 621-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA, PA3 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
I20100824000188 FL Practitioner - Internal Medicine 3173647492 Reassigns benefits to 1 organization
I20121022000134 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173647492
I20180627001340 PA Practitioner - Internal Medicine 3173647492 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88821FLMDInternal Medicine Physician
36131595ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Jencare Neighborhood Medical Center East Point CurrentSince Aug 5, 2013 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine Current Accepting new patients
Jencare Neighborhood Medical Victory, LLC Internal Medicine CurrentSince Sep 18, 2012 Accepting new patients
PMR Georgia Holding, LLC CurrentSince Jan 1, 2021 Accepting new patients
PMR Illinois Holding, LLC CurrentSince Jan 1, 2022 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine CurrentSince Jul 15, 2018 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine CurrentSince Jul 15, 2018 Accepting new patients
Dedicated Pennsylvania Holding, LLC Past Accepting new patients
Dedicated Georgia Holding LLC Internal Medicine PastSince Feb 1, 2022 Accepting new patients
PMR Affiliates Il Mso LLC PastSince Aug 17, 2015 Accepting new patients
Dedicated Indiana Holding LLC Internal Medicine PastSince Oct 1, 2023 Accepting new patients
PMR Meds PastSince Sep 18, 2012 Accepting new patients

Locations

1000 Park Centre Blvd
Ste 136
Miami Gardens, FL 33169
Phone (305) 621-0023

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

20801 NW 2nd Ave
Miami Gardens, FL 33169

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

3371 Buford Hwy NE
Brookhaven, GA 30329
Phone (404) 419-0180

2124 Candler Rd
Decatur, GA 30032
Phone (404) 836-0272

2084 Headland Dr
East Point, GA 30344
Phone (404) 419-0184

1331 Mount Zion Rd
Morrow, GA 30260
Phone (404) 419-0184

6326 Cermak Rd
Berwyn, IL 60402
Phone (708) 303-9234

2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700

2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700

19310 S Halsted St
Glenwood, IL 60425
Phone (708) 300-3132

6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831

5675 N Front St
Ste 141
Philadelphia, PA 19120
Phone (267) 428-6575

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

48 Newmarket Sq
Newport News, VA 23605
Phone (757) 825-8030

549 E Brambleton Ave
Norfolk, VA 23510
Phone (757) 393-1136

3960 Turnpike Rd
Portsmouth, VA 23701
Phone (757) 393-1136

1712 E Broad St
Richmond, VA 23223
Phone (804) 344-9848

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1740371152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695373",
            "telephone_number": "305-621-0023",
            "fax_number": "305-623-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695373",
            "telephone_number": "305-621-0023",
            "fax_number": "305-650-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88821",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36131595",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME88821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.