Individual provider Active NPI

Stan Su-Tah Chen, M.D.

  • Anesthesiology Physician
  • Seattle, WA
National Provider Identifier
1962449090
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00035720 Issued in WA
Practice address
600 Broadway Ste 270
Seattle, WA 98122-5392
Phone
(206) 625-0578
Fax
(206) 625-9184
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD25812 OR
Anesthesiology Physician 207L00000X MD00035720 WA Primary

Addresses

Primary practice location

600 Broadway Ste 270
Seattle, WA 98122-5392

Mailing address

PO Box 840842
Dallas, TX 75284-0842
Phone (066) 250-5782

Other identifiers 2

IdentifierTypeStateIssuer
135106MedicaidOR
2034890MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050811000621 WA Practitioner - AnesthesiologyPractitioner - Internal Medicine 9537196290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Anesthesia Service PLLCGroup PAC ID 6901792365, 183 clinicians

Practice addresses (Care Compare)

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-2742

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
80.9
Improvement activities
40
Cost
75.66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Anesthesiology Group, PC Anesthesiology CurrentSince Jan 1, 2017 Accepting new patients
Western Washington Medical Group, Inc, PS CurrentSince Jul 8, 2024 Accepting new patients
Physicians Anesthesia Service PLLC Anesthesiology CurrentSince Jul 8, 2024 Accepting new patients
Willamette Anesthesiology Group Anesthesiology Past Accepting new patients
Hieu Le, MD, PLLC Anesthesiology Past Accepting new patients
Cascade Valley Anesthesia, PLLC Anesthesiology Past Accepting new patients
Physicians Anesthesia of Monroe, PLLC Anesthesiology Past Accepting new patients

Locations

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

625 9th Ave
Ste 150
Longview, WA 98632
Phone (360) 442-7900

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

1229 Madison St
Ste 1440
Seattle, WA 98104
Phone (206) 625-0578

600 Broadway
Ste 270
Seattle, WA 98122
Phone (206) 381-0269

Organizations & group practices 7

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1962449090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840842",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840842",
            "telephone_number": "066-250-5782",
            "fax_number": "206-625-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY STE 270",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225392",
            "telephone_number": "206-625-0578",
            "fax_number": "206-625-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "STAN",
        "middle_name": "SU-TAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD25812",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00035720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135106",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034890",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.