Individual provider Active NPI

Yibo Chen, MD

  • Diagnostic Radiology Physician
  • Portsmouth, VA
National Provider Identifier
1902165533
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101262299 Issued in VA
Practice address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone
(757) 953-2075
Fax
(757) 953-5318
NPI assigned
May 16, 2012
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 63177 NY
Diagnostic Radiology Physician 2085R0202X 66958 CT
Diagnostic Radiology Physician 2085R0202X 0101262299 VA Primary

Addresses

Primary practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4400
Phone (703) 698-4444

Other practice location 1

47 New Scotland Ave
Department of Radiology
Albany, NY 12208-3412
Phone (917) 667-3411

Other practice location 2

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870

Other identifiers 1

IdentifierTypeStateIssuer
61377MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, CT, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180430000874 TX Practitioner - Diagnostic Radiology 2567726524 Reassigns benefits to 1 organization
I20180530002234 VA Practitioner - Diagnostic Radiology 2567726524 Reassigns benefits to 4 organizations
I20210122002779 CT Practitioner - Diagnostic Radiology 2567726524 Reassigns benefits to 2 organizations
I20220629000899 DC Practitioner - Diagnostic Radiology 2567726524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danbury Radiological Associates, PCGroup PAC ID 2264408533, 35 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians
Premier Imaging LLCGroup PAC ID 8820403637, 42 clinicians

Practice addresses (Care Compare)

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7532

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 698-4444

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

34 Maple St
Norwalk, CT 06850-3815
Phone (203) 748-0834

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 698-4444

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66958CTMDDiagnostic Radiology Physician
0101262299VAMDDiagnostic Radiology Physician
63177NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Jul 18, 2022 Accepting new patients
Hampton Roads Radiology Associates, PC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Sentara Medical Group CurrentSince Mar 1, 2021 Accepting new patients
Kingsley Lane Anatomic Pathology Current Accepting new patients
Inova Reston MRI Center LLC CurrentSince Jul 18, 2022 Accepting new patients
Ifrc, LLC CurrentSince Jul 18, 2022 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Apr 6, 2018 Accepting new patients
Inova Health Care Services CurrentSince Jul 18, 2022 Accepting new patients
Danbury Radiological Associates, PC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Premier Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology CurrentSince Jul 18, 2022 Accepting new patients
Las Cruces Physician Services LLC Diagnostic Radiology Past Accepting new patients
Trustees of Columbia University in the City of New York PastSince May 2, 2016 Accepting new patients

Locations

730 Federal Rd
Brookfield, CT 06804
Phone (203) 791-9011

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131

2 Riverview Dr
Ste 104
Danbury, CT 06810
Phone (203) 739-7532

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

41 Germantown Rd
Danbury, CT 06810
Phone (203) 744-1680

70 Main St
Danbury, CT 06810
Phone (203) 739-8100

90 Locust Ave
Ste 1
Danbury, CT 06810
Phone (203) 792-5005

21 Elm St
New Milford, CT 06776
Phone (860) 210-5000

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

775 Main St S
Southbury, CT 06488
Phone (203) 262-6752

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

4 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 433-9230

582 Lynnhaven Pkwy
Ste 301
Virginia Beach, VA 23452
Phone (757) 916-9631

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1902165533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4444",
            "fax_number": "703-260-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-2075",
            "fax_number": "757-953-5318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 New Scotland Ave",
            "address_2": "Department of Radiology",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "917-667-3411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-8870",
            "fax_number": "757-388-8871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YIBO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "63177",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "66958",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101262299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.