Active NPI
Andy Chen, M.D.
- Emergency Medicine Physician
- Houston, TX
National Provider Identifier
1952387458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- L0077
- Practice address
- 12141 Richmond Ave
Houston, TX 77082-2408 - Phone
- (281) 799-8600
- Fax
- (281) 596-5947
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | L0077 | TX | Primary |
Addresses
Primary practice location
12141 Richmond Ave
Houston, TX 77082-2408
Mailing address
PO Box 200993
Houston, TX 77216-0993
Phone (281) 784-1111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8F8315 | Other | TX | BCBSTX PROV NO |
| 096446203 | Medicaid | TX | |
| 1952387458 | Other | TX | TRICARE SOUTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|
| L0077 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TK Emergency Physicians Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Greater Houston Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770
1120 Kingwood Dr
Kingwood, TX 77339
Phone (281) 358-8488
11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100
22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1942728019
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1316363336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289433600000",
"number": "1952387458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200993",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772160993",
"telephone_number": "281-784-1111",
"fax_number": "281-784-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12141 RICHMOND AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822408",
"telephone_number": "281-799-8600",
"fax_number": "281-596-5947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ANDY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2010-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "L0077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX PROV NO",
"identifier": "8F8315",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096446203",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE SOUTH",
"identifier": "1952387458",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.