Active NPI
Tony Yuan-Ting Chen, MD
- Ophthalmology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036-155742
- Practice address
- 645 N Michigan Ave Ste 440
Chicago, IL 60611-5899 - Phone
- (312) 503-3649
- NPI assigned
- Jun 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | U0320 | TX | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | U0320 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | 036-155742 | IL | Primary |
Addresses
Primary practice location
645 N Michigan Ave Ste 440
Chicago, IL 60611-5899
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000
Other practice location 1
827 linden ave
Baltimore, MD 21201
Phone (410) 225-8790
Other practice location 2
2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000
Other practice location 3
106 Vision Park Blvd
Shenandoah, TX 77384-3000
Phone (713) 442-1800
Other practice location 4
1010 S Ponds Dr
Webster, TX 77598-1409
Phone (713) 442-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- George Washington University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-155742 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Ophthalmology | Current | Accepting new patients |
| KS SC LLC | Past | Accepting new patients |
Locations
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826
7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200
106 Vision Park Blvd
Shenandoah, TX 77384
Phone (713) 442-1800
18833 Eastfield Dr
Webster, TX 77598
Phone (713) 442-4300
1010 S Ponds Dr
Webster, TX 77598
Phone (713) 442-4300
Interoperability endpoints
- tchen65281@direct.kelsey-seybold.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
Ophthalmology
-
- Ambulatory Surgical Clinic/Center
- Webster, TX
- NPI 1700648037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1841720729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 SHADOW CREEK PKWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847298",
"telephone_number": "713-442-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 N MICHIGAN AVE STE 440",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115899",
"telephone_number": "312-503-3649"
}
],
"practiceLocations": [
{
"address_1": "827 linden ave",
"address_purpose": "LOCATION",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"country_code": "US",
"telephone_number": "410-225-8790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2727 W Holcombe Blvd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770251669",
"country_code": "US",
"telephone_number": "713-442-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 Vision Park Blvd",
"address_purpose": "LOCATION",
"city": "Shenandoah",
"state": "TX",
"postal_code": "773843000",
"country_code": "US",
"telephone_number": "713-442-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 S Ponds Dr",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "TX",
"postal_code": "775981409",
"country_code": "US",
"telephone_number": "713-442-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "TONY",
"middle_name": "YUAN-TING",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "U0320",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "TX",
"license": "U0320",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036-155742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.