Individual provider Active NPI

Charles Chen, MD

  • Internal Medicine Physician
  • Middleburg Heights, OH
National Provider Identifier
1902815707
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35061824C Issued in OH
Practice address
16600 W Sprague Rd Ste 120
Middleburg Heights, OH 44130-6300
Phone
(248) 434-6169
NPI assigned
Aug 8, 2006
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35061824C OH Primary

Addresses

Primary practice location

16600 W Sprague Rd Ste 120
Middleburg Heights, OH 44130-6300

Mailing address

PO Box 639295 Dept 92294
Cincinnati, OH 45263-9295
Phone (248) 434-6169

Other practice location 1

3515 Massillon Rd
Suite 250
Uniontown, OH 44685-6400
Phone (330) 896-5651

Other identifiers 2

IdentifierTypeStateIssuer
000000315125OtherOHANTHEM BCBS
0872006MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040202000797 OH Practitioner - Internal Medicine 5395648661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Columbus, OH 43235
Phone (614) 523-2155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061824COHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Aug 24, 2024 Accepting new patients
Vpa PC Internal Medicine CurrentSince Nov 12, 2023 Accepting new patients
Vpa PC Internal Medicine Current Accepting new patients
Vpa PC Internal Medicine CurrentSince Aug 24, 2024 Accepting new patients
Vpa PC Internal Medicine Current Accepting new patients
Partners Physician Group Past Accepting new patients
Partners Physician Group Past Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

3515 Massillon Rd
Ste 250
Green, OH 44685
Phone (330) 734-6015

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

16600 W Sprague Rd
Ste 120
Middleburg Heights, OH 44130
Phone (440) 826-0500

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Interoperability endpoints

  • Direct secure messaging: charles.chen.1@32913.direct.athenahealth.com

Organizations & group practices 7

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 9

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1902815707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 92294",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD STE 120",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306300",
            "telephone_number": "248-434-6169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3515 Massillon Rd",
            "address_2": "SUITE 250",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "446856400",
            "country_code": "US",
            "telephone_number": "330-896-5651",
            "fax_number": "330-896-5685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35061824C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000315125",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0872006",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.