Active NPI
Pei Yan Chen, MD
- Nephrology Physician
- Birmingham, AL
National Provider Identifier
1952327157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 00024999
- Practice address
- 48 Medical Park Dr E
Suite 151
Birmingham, AL 35235-3400 - Phone
- (205) 856-0011
- Fax
- (205) 856-0726
- NPI assigned
- Jul 14, 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 00024999 | AL | Primary |
Addresses
Primary practice location
48 Medical Park Dr E
Suite 151
Birmingham, AL 35235-3400
Mailing address
48 Medical Park Dr E
Ste 151
Birmingham, AL 35235-3400
Phone (205) 856-0011
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630835334 | Other | AL | TRICARE |
| I09196 | Other | AL | HEALTH SPRING |
| DC0698 | Other | AL | TRAVELERS MEDICARE |
| I09196 | Other | AL | UNITED HEALTH CARE |
| 630835334 | Other | AL | AETNA |
| I09196 | Other | AL | VIVA |
| 51520863 | Other | AL | BLUE CROSS |
| 009961755 | Medicaid | AL | |
| 630835334 | Other | AL | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00024999 | AL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Nephrology, PC | Nephrology | Current | Accepting new patients |
Locations
48 Medical Park Dr E
Ste 151
Birmingham, AL 35235
Phone (205) 699-1632
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1952327157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR E",
"address_2": "STE 151",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353400",
"telephone_number": "205-856-0011",
"fax_number": "205-856-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 MEDICAL PARK DR E",
"address_2": "SUITE 151",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353400",
"telephone_number": "205-856-0011",
"fax_number": "205-856-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "PEI",
"middle_name": "YAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AL",
"license": "00024999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "630835334",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SPRING",
"identifier": "I09196",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "DC0698",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "I09196",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "630835334",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "I09196",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51520863",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009961755",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "630835334",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.