Individual provider Active NPI

Chau L Chen, MD

  • Internal Medicine Physician
  • St Louis, MO
National Provider Identifier
1760570071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35577 Issued in MO
Practice address
8401 Olive Blvd
St Louis, MO 63132
Phone
(314) 997-3430
Fax
(618) 345-1113
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C51929 CA
Internal Medicine Physician 207R00000X 35577 MO Primary
Internal Medicine Physician 207R00000X 53838 IL

Addresses

Primary practice location

8401 Olive Blvd
St Louis, MO 63132

Mailing address

8401 Olive Blvd
St Louis, MO 63132
Phone (314) 997-3430

Other identifiers 3

IdentifierTypeStateIssuer
0006000394OtherILBCBS
112115OtherMOBCBS
0409008OtherUHC

Other names 1

  • Dr. Richard CL Chen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20101108001220 MO Practitioner - Internal Medicine 5890980528 Practice locations: Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8401 Olive Blvd
Saint Louis, MO 63132-2815
Phone (314) 997-3430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51929CAMDInternal Medicine Physician
53838ILMDInternal Medicine Physician
35577MOMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760570071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 OLIVE BLVD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63132",
            "telephone_number": "314-997-3430",
            "fax_number": "618-345-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 OLIVE BLVD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63132",
            "telephone_number": "314-997-3430",
            "fax_number": "618-345-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHAU L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51929",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "35577",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "53838",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0006000394",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "112115",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0409008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD CL",
            "last_name": "CHEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St Louis, MO

Sources for this page

Verify at the official NPI Registry.