Individual provider Active NPI

Robert Chen, MD

  • Dermatology Physician
  • Lawrenceburg, TN
National Provider Identifier
1902953722
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
43761 Issued in TN
Practice address
2131 N Locust Ave
Lawrenceburg, TN 38464-4455
Phone
(931) 762-6545
Fax
(931) 762-6781
NPI assigned
Jan 4, 2007
Last updated
Apr 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 43761 TN Primary
MOHS-Micrographic Surgery Physician 207ND0101X 43761 TN
Dermatopathology Physician 207ND0900X 43761 TN

Addresses

Primary practice location

2131 N Locust Ave
Lawrenceburg, TN 38464-4455

Mailing address

2131 N Locust Ave
Lawrenceburg, TN 38464-4455
Phone (931) 762-6545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20081015000452 TN Practitioner - Dermatology 8426145103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Irvine, California College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2131 N Locust Ave
Suite D
Lawrenceburg, TN 38464-4455
Phone (931) 762-6545

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision179
Removal of tissue1-10
Removal of skin lesions1109
Removal of skin cancer254
Removal of nail tissue1-10
Skin biopsy760

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Skin Care Center CurrentSince Jan 1, 2011 Accepting new patients
Acacia Dermatology CurrentSince Oct 1, 2008 Accepting new patients
Belle Meade Dermatology, PC Current Accepting new patients

Locations

2131 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-6545

2131 N Locust Ave
Ste D
Lawrenceburg, TN 38464
Phone (931) 762-6545

2000 Richard Jones Rd
Ste 220
Nashville, TN 37215
Phone (615) 383-2400

24 White Bridge Pike
Nashville, TN 37205
Phone (615) 352-0011

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1902953722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644455",
            "telephone_number": "931-762-6545",
            "fax_number": "931-762-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644455",
            "telephone_number": "931-762-6545",
            "fax_number": "931-762-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "43761",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TN",
            "license": "43761",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TN",
            "license": "43761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.