Individual provider Active NPI

Janice Pin-Wang Chen, M.D.

  • Diagnostic Radiology Physician
  • Fairbanks, AK
National Provider Identifier
1841305208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4476 Issued in AK
Practice address
1650 Cowles St
Fairbanks, AK 99701-5925
Phone
(907) 458-5660
NPI assigned
Aug 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4476 AK Primary

Addresses

Primary practice location

1650 Cowles St
Fairbanks, AK 99701-5925

Mailing address

PO Box 70378
Fairbanks, AK 99707-0378
Phone (907) 456-2784

Other identifiers 1

IdentifierTypeStateIssuer
MD7168MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 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
I20110204000967 AK Practitioner - Diagnostic Radiology 2163315276 Reassigns benefits to 3 organizations
I20160913000082 TX Practitioner - Diagnostic Radiology 2163315276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants a Professional CorpGroup PAC ID 0749173029, 11 clinicians
Tanana Chiefs ConferenceGroup PAC ID 9537050109, 148 clinicians
Fairbanks Ultrasound LLC.Group PAC ID 3577745264, 8 clinicians

Practice addresses (Care Compare)

1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 456-2784

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682

3419 Airport Way
Suite D
Fairbanks, AK 99709-4765
Phone (907) 374-4644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
40.48 of 100Reported as group
Quality
78.33
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants a Professional Corp Diagnostic Radiology CurrentSince Nov 12, 2001 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Aug 1, 2022 Accepting new patients
Fairbanks Ultrasound, LLC. CurrentSince Aug 1, 2024 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Feb 7, 2023 Accepting new patients
South Peninsula Hospital, Inc. Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Tanana Chiefs Conference CurrentSince Aug 7, 2016 Accepting new patients
Tanana Chiefs Conference CurrentSince Aug 7, 2016 Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682

3419 Airport Way
Ste D
Fairbanks, AK 99709
Phone (907) 374-4644

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

Interoperability endpoints

  • Direct secure messaging: janice.chen.1@15989.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841305208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70378",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997070378",
            "telephone_number": "907-456-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015925",
            "telephone_number": "907-458-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JANICE",
        "middle_name": "PIN-WANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "4476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD7168",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.