Active NPI
Yibo Chen, MD
- Diagnostic Radiology Physician
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101262299
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61377 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VA, CT, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 66958 | CT | MD | Diagnostic Radiology Physician |
| 0101262299 | VA | MD | Diagnostic Radiology Physician |
| 63177 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Radiological Consultants | Diagnostic Radiology | Current | Accepting new patients |
| Hampton Roads Radiology Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Sentara Medical Group | Current | Accepting new patients | |
| Kingsley Lane Anatomic Pathology | Current | Accepting new patients | |
| Inova Reston MRI Center LLC | Current | Accepting new patients | |
| Ifrc, LLC | Current | Accepting new patients | |
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Danbury Radiological Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Premier Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Inova Reston MRI Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Las Cruces Physician Services LLC | Diagnostic Radiology | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Past | 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.
-
- Specialist
- Falls Church, VA
- NPI 1114902509
DC, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Danbury, CT
- NPI 1639164106
-
- Diagnostic Radiology Physician
- Norwalk, CT
- NPI 1760087027
-
- Diagnostic Radiology Physician
- Virginia Beach, VA
- NPI 1174533624
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Herndon, VA
- NPI 1972838993
DC, Diagnostic Radiology
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
dba Inova Fairfax Hospital
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Falls Church, VA
- NPI 1568593440
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Centreville, VA
- NPI 1417674821
-
- Anatomic Pathology & Clinical Pathology Physician
- Newport News, VA
- NPI 1386930451
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1215079678
Diagnostic Radiology
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
dba Inova Mount Vernon Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1346441953
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.