Kevin Showen Chen, MD
Individual provider Active NPI Neurological Surgery Physician · Ann Arbor, MI
NPI 1811223969 · NPPES record last updated Feb 9, 2023
Key facts
- NPI
- 1811223969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 4301098834 (MI)
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Oct 26, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- Duke University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Regents of the University of Michigan
Practice addresses (Care Compare)
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-7010
325 E Eisenhower Pkwy
Ann Arbor, MI 48108-3364
Phone (734) 936-7010
4260 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 936-7010
4270 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 936-7010
Hospital & facility affiliations
- University of Michigan Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 19 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180523000343 | CA | Practitioner - Neurosurgery | 2466767488 | Reassigns benefits to 1 organization |
| I20190729000942 | MI | Practitioner - Neurosurgery | 2466767488 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| Regents of the University of Michigan | Current |
Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| Great Lakes Neurosurgical Associates, PC | Neurological Surgery | Current |
Accepting new patients |
| Regents of the University of Michigan | Neurological Surgery | Current |
Accepting new patients |
| County of Santa Clara | Neurological Surgery | Current |
Accepting new patients |
| Regents of the University of Michigan | Past | Accepting new patients | |
| Great Lakes Neurosurgical Associates, PC | Past |
Accepting new patients |
Locations
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
300 Pasteur Dr
Rm R209
Stanford, CA 94305
Phone (650) 721-3972
4260 Plymouth Rd
Ann Arbor, MI 48109
Phone (734) 647-5715
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
1500 E Medical Center Dr
Spc 5338
Ann Arbor, MI 48109
Phone (734) 647-7960
3350 Eagle Park Dr NE
Ste 102
Grand Rapids, MI 49525
Phone (616) 242-7042
414 Plymouth Ave NE
Grand Rapids, MI 49505
Phone (616) 454-3465
Interoperability endpoints
- kchen109179@direct.metrohealth.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 4301098834 | MI | Yes |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
NPI Registry JSON
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1811223969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "KEVIN",
"middle_name": "SHOWEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-26",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301098834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
- Grace Yi Chen
- Jason Chiashane Chen
- Joan Weichun Chen
- Julia Chen
- Kelly Song Chen
- Lang Chen
- Ming Chen
- Vincent Lingzhi Chen
- Vivian Y Chen
- Xian Chen
All providers in Ann Arbor, MI · Neurological Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.