NPIMap

Individual provider Active NPI

Yongjin Chen, M.D.

  • Family Medicine Physician
  • Mantua, OH
National Provider Identifier
1891732863
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-088152 Issued in OH
Practice address
10803 Main St
Mantua, OH 44255-9695
Phone
(330) 274-2030
Fax
(330) 274-2151
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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 35-088152 OH Primary

Addresses

Primary practice location

10803 Main St
Mantua, OH 44255-9695

Mailing address

10803 Main St
Mantua, OH 44255-8602
Phone (330) 274-2030

Other identifiers 1

IdentifierTypeStateIssuer
2683476MedicaidOH

Other names 1

  • Yongjin Chen Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yongjinchen@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000540 OH Practitioner - Family Practice 6002846938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

10803 Main St
Mantua, OH 44255-9695
Phone (216) 383-0100

Hospital & facility affiliations

  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-088152OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Sep 1, 2007 Accepting new patients
University Primary Care Practices Inc. Past Accepting new patients
University Primary Care Practices Past Accepting new patients
Multicare Health System Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients

Locations

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

10803 Main St
Mantua, OH 44255
Phone (330) 274-2030

4001 Carrick Dr
Ste 120
Medina, OH 44256
Phone (330) 426-8700

9000 Mentor Ave
Ste 101
Mentor, OH 44060
Phone (440) 974-4443

15976 E High St
Middlefield, OH 44062
Phone (440) 632-0408

Interoperability endpoints

  • Direct secure messaging: ychen21172@ehrdirect.uhhospitals.org

Organizations & group practices 11

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 6

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1891732863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 MAIN ST",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442558602",
            "telephone_number": "330-274-2030",
            "fax_number": "330-274-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10803 MAIN ST",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559695",
            "telephone_number": "330-274-2030",
            "fax_number": "330-274-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YONGJIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-088152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2683476",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yongjinchen@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "10803 Main St",
            "city": "Mantua",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442559695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YONGJIN",
            "last_name": "CHEN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mantua, OH

Sources for this page

Verify at the official NPI Registry.