Individual provider Active NPI

Ryan Chen, MD

  • Surgery Physician
  • Roseville, CA
National Provider Identifier
1831516095
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A158963 Issued in CA
Practice address
584 N Sunrise Ave Ste 100
Roseville, CA 95661-2862
Phone
(916) 250-2596
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X A158963 CA Primary

Addresses

Primary practice location

584 N Sunrise Ave Ste 100
Roseville, CA 95661-2862

Mailing address

584 N Sunrise Ave Ste 100
Roseville, CA 95661-2862
Phone (916) 250-2596

Other practice location 1

530 S Jackson St
Louisville, KY 40202-1675
Phone (626) 226-8275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190801002813 CA Practitioner - General Surgery 3173833324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Saint Louis University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Medical PartnershipGroup PAC ID 7810321858, 18 clinicians

Practice addresses (Care Compare)

1625 Creekside Dr
Suite 200
Folsom, CA 95630-3819
Phone (916) 365-9590

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158963CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Mar 15, 2021 Accepting new patients
Sierra Medical Partnership Surgery CurrentSince Mar 11, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jun 22, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jun 22, 2020 Accepting new patients
Sierra Medical Partnership Surgery CurrentSince Mar 11, 2020 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter Regional Medical Foundation Surgery Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

275 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 885-0344

6620 Coyle Ave
Ste 408
Carmichael, CA 95608
Phone (916) 250-2596

6555 Coyle Ave
Ste 220
Carmichael, CA 95608
Phone (916) 241-9677

1580 Creekside Dr
Ste 130
Folsom, CA 95630
Phone (916) 542-1458

1625 Creekside Dr
Ste 200
Folsom, CA 95630
Phone (916) 250-2596

2001 Rattlesnake Rd
Newcastle, CA 95658
Phone (916) 663-2100

584 N Sunrise Ave
Ste 100
Roseville, CA 95661
Phone (916) 250-2596

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

3939 J St
Ste 330
Sacramento, CA 95819
Phone (916) 290-9003

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Interoperability endpoints

  • Direct secure messaging: ryan.chen.1@21842.direct.athenahealth.com
  • Direct secure messaging: ryan.chen.1@13768.direct.athenahealth.com
  • Direct secure messaging: rchen458290@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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 2

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1831516095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 N SUNRISE AVE STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612862",
            "telephone_number": "916-250-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 N SUNRISE AVE STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612862",
            "telephone_number": "916-250-2596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021675",
            "country_code": "US",
            "telephone_number": "626-226-8275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A158963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.