Individual provider Active NPI

Mingkui Chen, M.D., PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tukwila, WA
National Provider Identifier
1912122409
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD61366624 Issued in WA
Practice address
12501 E Marginal Way S Ste 200
Tukwila, WA 98168-5163
Phone
(206) 576-6053
NPI assigned
Apr 17, 2007
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD61366624 WA Primary

Addresses

Primary practice location

12501 E Marginal Way S Ste 200
Tukwila, WA 98168-5163

Mailing address

12501 E Marginal Way S Ste 200
Tukwila, WA 98168-5163
Phone (206) 576-6053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ, CT, WA, AK5 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
I20121212000350 GA Practitioner - Pathology 9335319730 Reassigns benefits to 1 organization
I20191120001798 AZ Practitioner - Pathology 9335319730 Reassigns benefits to 1 organization
I20210408002144 CT Practitioner - Pathology 9335319730 Reassigns benefits to 1 organization
I20230219000029 WA Practitioner - Pathology 9335319730 Reassigns benefits to 2 organizations
I20240923003669 AK Practitioner - Pathology 9335319730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cellnetix Pathology PLLCGroup PAC ID 8224062971, shared by 3 NPIs, 58 clinicians

Practice addresses (Care Compare)

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (844) 344-4209

2490 S Woodworth Loop
Suite 410
Palmer, AK 99645-7411
Phone (807) 745-8100

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic CurrentSince May 13, 2023 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
Yale University CurrentSince Apr 1, 2021 Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Oct 26, 2012 Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 13, 2024 Accepting new patients
Yale University CurrentSince Apr 1, 2021 Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 27, 2023 Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 27, 2023 Accepting new patients
The Polyclinic PLLC CurrentSince May 13, 2023 Accepting new patients

Locations

2490 S Woodworth Loop
Ste 410
Palmer, AK 99645
Phone (807) 745-8100

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1145 Broadway
Seattle, WA 98122

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

12501 E Marginal Way S
Ste 200
Tukwila, WA 98168
Phone (206) 576-6050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 5

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1912122409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 E MARGINAL WAY S STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685163",
            "telephone_number": "206-576-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 E MARGINAL WAY S STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685163",
            "telephone_number": "206-576-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MINGKUI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD61366624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.