Individual provider Active NPI

Jeffrey Duke Chien

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1871869883
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A134764 Issued in CA
Practice address
111 S 11TH St
Philadelphia, PA 19107-4824
Phone
(215) 955-9837
NPI assigned
Mar 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A134764 CA Primary

Addresses

Primary practice location

111 S 11TH St
Philadelphia, PA 19107-4824

Mailing address

460 Old Town Rd Apt 4N
Port Jefferson Station, NY 11776-2208

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
I20150521000042 CA Practitioner - Emergency Medicine 8325279474 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York at Stony Brook, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Associates San Jose PCGroup PAC ID 8921344292, 131 clinicians

Practice addresses (Care Compare)

2105 Forest Ave
San Jose, CA 95128-1425
Phone (408) 947-2500

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A134764CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
Emergency Physicians Associates San Jose PC Emergency Medicine CurrentSince Jun 9, 2021 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
County of Santa Clara CurrentSince Aug 20, 2018 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
County of Santa Clara Emergency Medicine CurrentSince Aug 20, 2018 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: jchien89925@santaclaravalley.direct-ci.net

Organizations & group practices 8

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.

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": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1871869883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 OLD TOWN RD APT 4N",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEN",
        "first_name": "JEFFREY",
        "middle_name": "DUKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-25",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A134764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.