Individual provider Active NPI

Jenny Lieu Chia, MD

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1871564435
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10588 Issued in NV
Practice address
2789 Sunridge Heights Pkwy Ste 100
Henderson, NV 89052-5053
Phone
(702) 614-0850
Fax
(702) 614-0798
NPI assigned
Jan 31, 2006
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10588 NV Primary

Addresses

Primary practice location

2789 Sunridge Heights Pkwy Ste 100
Henderson, NV 89052-5053

Mailing address

PO Box 50716
Henderson, NV 89016-0716
Phone (702) 614-0850

Other practice location 1

10001 S Eastern Ave
Suite 101
Henderson, NV 89052-3907
Phone (702) 614-0850

Other identifiers 2

IdentifierTypeStateIssuer
100500721MedicaidNV
100500720MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20070501000530 NV Practitioner - Family Practice 9032212659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Siena Hills Primary CareGroup PAC ID 1254389216, 2 clinicians

Practice addresses (Care Compare)

2789 Sunridge Heights Pkwy
Suite 100
Henderson, NV 89052-5053
Phone (702) 614-0850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.98 of 100Reported as apm
Quality
85.1
Promoting interoperability
88.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10588NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siena Hills Primary Care CurrentSince Apr 2, 2007 Accepting new patients

Locations

2789 Sunridge Heights Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 614-0850

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIFHCA

Organizations & group practices 1

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1871564435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50716",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160716",
            "telephone_number": "702-614-0850",
            "fax_number": "702-614-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 SUNRIDGE HEIGHTS PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525053",
            "telephone_number": "702-614-0850",
            "fax_number": "702-614-0798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10001 S Eastern Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523907",
            "country_code": "US",
            "telephone_number": "702-614-0850",
            "fax_number": "702-614-0798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIA",
        "first_name": "JENNY",
        "middle_name": "LIEU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500721",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500720",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.