Individual provider Active NPI

Michael Chen, D.O.

  • Emergency Medicine Physician
  • Lubbock, TX
National Provider Identifier
1780823682
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P4146 Issued in TX
Practice address
3615 19TH St
Lubbock, TX 79410-1203
Phone
(806) 725-4479
Fax
(806) 725-0053
NPI assigned
Feb 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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 P4146 TX Primary

Addresses

Primary practice location

3615 19TH St
Lubbock, TX 79410-1203

Mailing address

3420 22ND PL
Lubbock, TX 79410-1314
Phone (806) 725-5844

Other identifiers 1

IdentifierTypeStateIssuer
8DL319OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20121016000288 TX Practitioner - Emergency Medicine 9335290089 Reassigns benefits to 4 organizations
I20160523000355 ME Practitioner - Emergency Medicine 9335290089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingwood Physician Group PLLCGroup PAC ID 4183099005, 9 clinicians

Practice addresses (Care Compare)

23330 Hwy 59 N
Kingwood, TX 77339-4471
Phone (832) 777-6165

Hospital & facility affiliations

  • CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059
  • Elite Hospital Kingwood Hospital, Kingwood, TX, CCN 670285

Merit-based Incentive Payment System (MIPS)

Final score
99.17 of 100Reported as group
Improvement activities
40
Cost
78.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Jun 21, 2020 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Nov 6, 2023 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Kingwood Physician Group PLLC Emergency Medicine CurrentSince Oct 16, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Nov 14, 2018 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Physician Acute Care Services Kingwood, PLLC Emergency Medicine Current Accepting new patients
Central Maine Medical Center CurrentSince Nov 14, 2018 Accepting new patients
Horizon Emergency Physician Group, LTD Emergency Medicine Past Accepting new patients
Singleton Associates PA Past Accepting new patients

Locations (25 of 27)

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

23330 Highway 59 N
Kingwood, TX 77339
Phone (832) 777-6165

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712

4810 N Loop 289
Lubbock, TX 79416
Phone (806) 687-7777

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

22003 Southwest Fwy
Richmond, TX 77469
Phone (281) 341-2000

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

17400 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-4055

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 10

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 4

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": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1780823682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101314",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101203",
            "telephone_number": "806-725-4479",
            "fax_number": "806-725-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P4146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DL319",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.