Individual provider Active NPI

Gordon Lee Chen, M.D.

  • Internal Medicine Physician
  • Opa Locka, FL
National Provider Identifier
1912108317
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100510 Issued in FL
Practice address
401 Opa Locka Blvd
Opa Locka, FL 33054-3528
Phone
(786) 535-7200
NPI assigned
May 31, 2007
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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 ME100510 FL Primary

Addresses

Primary practice location

401 Opa Locka Blvd
Opa Locka, FL 33054-3528

Mailing address

401 Opa Locka Blvd
Opa Locka, FL 33054-3528
Phone (786) 535-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, LA, PA, IN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20110413000520 FL Practitioner - Internal Medicine 1456535665 Reassigns benefits to 1 organization
I20110912000565 VA Practitioner - Internal Medicine 1456535665
I20120920000291 LA Practitioner - Internal Medicine 1456535665
I20180606002249 PA Practitioner - Internal Medicine 1456535665 Reassigns benefits to 1 organization
I20231011001621 IN Practitioner - Internal Medicine 1456535665

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100510FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Dedicated Indiana Holding LLC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Jencare Neighborhood Medical Center East Point CurrentSince Aug 5, 2013 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine CurrentSince Jul 15, 2018 Accepting new patients
Chen Neighborhood Medical Centers of South Florida LLC CurrentSince Sep 3, 2025 Accepting new patients
PMR Georgia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine CurrentSince Jul 15, 2018 Accepting new patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Jan 1, 2014 Accepting new patients
Dedicated Pennsylvania Holding, LLC Past Accepting new patients
Jencare Neighborhood Medical Center Evergreen Park, LLC Past Accepting new patients
PMR Illinois Holding, LLC PastSince Jan 1, 2022 Accepting new patients
Dedicated South Carolina Holding, LLC Internal Medicine PastSince Apr 1, 2022 Accepting new patients

Locations (25 of 29)

2845 Aventura Blvd
Ste 245
Aventura, FL 33180
Phone (305) 466-7333

410 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (305) 827-2977

2150 W 68th St
Ste 200
Hialeah Gardens, FL 33016
Phone (305) 434-4546

2589 N State Road 7
Lauderdale Lakes, FL 33313
Phone (954) 714-1264

1000 Park Centre Blvd
Ste 100
Miami Gardens, FL 33169
Phone (305) 621-0023

1000 Park Centre Blvd
Ste 136
Miami Gardens, FL 33169
Phone (305) 621-0023

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

20801 NW 2nd Ave
Miami Gardens, FL 33169

5961 NW 173rd Dr
Miami Gardens, FL 33015
Phone (305) 556-7500

6037 Kimberly Blvd
North Lauderdale, FL 33068
Phone (954) 379-8994

1190 NE 125th St
North Miami, FL 33161
Phone (305) 891-7500

1431 NE 162nd St
North Miami Beach, FL 33162
Phone (305) 949-0999

401 Opa Locka Blvd
Opa Locka, FL 33054
Phone (786) 535-7200

8529 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 704-3300

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

3371 Buford Hwy NE
Brookhaven, GA 30329
Phone (404) 419-0180

2124 Candler Rd
Decatur, GA 30032
Phone (404) 836-0272

2084 Headland Dr
East Point, GA 30344
Phone (404) 419-0184

1331 Mount Zion Rd
Morrow, GA 30260
Phone (404) 419-0184

8118 E Washington St
Indianapolis, IN 46219
Phone (463) 213-3300

5675 N Front St
Ste 141
Philadelphia, PA 19120
Phone (267) 428-6575

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

48 Newmarket Sq
Newport News, VA 23605
Phone (757) 825-8030

549 E Brambleton Ave
Norfolk, VA 23510
Phone (757) 393-1136

3960 Turnpike Rd
Portsmouth, VA 23701
Phone (757) 393-1136

Organizations & group practices 12

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1912108317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OPA LOCKA BLVD",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543528",
            "telephone_number": "786-535-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OPA LOCKA BLVD",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543528",
            "telephone_number": "786-535-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "GORDON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

Verify at the official NPI Registry.