Active NPI
Grace L. Chen, M.D., MPH
- Infectious Disease Physician
- Bethesda, MD
National Provider Identifier
1902910458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 0101251716
- Practice address
- 5214 Sangamore Rd
Bethesda, MD 20816-2322 - Phone
- (415) 658-6791
- Fax
- (415) 520-0904
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 0101251716 | VA | Primary |
Addresses
Primary practice location
5214 Sangamore Rd
Bethesda, MD 20816-2322
Mailing address
5214 Sangamore Rd
Bethesda, MD 20816-2322
Phone (415) 658-6791
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PAR | Other | VA | CIGNA |
| 1902910458 | Other | VA | COVENTRY HEALTH NETWORK |
| 1902910458 | Medicaid | VA | |
| 1902910458 | Other | VA | VIRGINIA PREMIER HEALTH PLAN |
| PAR | Other | VA | USA MANAGED CARE |
| PAR | Other | VA | MULTIPLAN |
| -032 | Other | VA | TRICARE/CHAMPUS |
| 1902910458 | Other | VA | UNITED HEALTHCARE |
| PAR | Other | VA | AETNA |
| 10093667 | Other | VA | OPTIMA HEALTH |
| 472496 | Other | VA | ANTHEM BC/BS |
| 5920233 | Medicaid | NC | |
| PAR | Other | VA | CORVEL |
| PAR | Other | VA | VIRGINIA HEALTH NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222139 | MA | MD | Social Worker |
| 13607 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastport Health Care, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Eastport, ME
- NPI 1093752917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1902910458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5214 SANGAMORE RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162322",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5214 SANGAMORE RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162322",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "GRACE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D., MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "VA",
"license": "0101251716",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH NETWORK",
"identifier": "1902910458",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902910458",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH PLAN",
"identifier": "1902910458",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "-032",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1902910458",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "10093667",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "472496",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5920233",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "PAR",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.