Individual provider Active NPI

Wengen Chen, MD

  • Nuclear Imaging & Therapy Physician
  • Baltimore, MD
National Provider Identifier
1962551473
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
D0069044 Issued in MD
Practice address
22 S Greene St, Dept of Radiology
Baltimore, MD 21201-1544
Phone
(410) 328-3477
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X D0069044 MD Primary

Addresses

Primary practice location

22 S Greene St, Dept of Radiology
Baltimore, MD 21201-1544

Mailing address

22 S Greene St, Dept of Radiology
Baltimore, MD 21201-1544
Phone (410) 328-3477

Other identifiers 2

IdentifierTypeStateIssuer
088338881MedicaidDC
024727800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090821000472 MD Practitioner - Nuclear Medicine 0941354187 Reassigns benefits to 4 organizations
I20181210002012 DC Practitioner - Nuclear Medicine 0941354187 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0069044MDMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Imaging Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Nuclear Imaging & Therapy CurrentSince Jul 1, 2009 Accepting new patients
University Imaging Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Nuclear Imaging & Therapy CurrentSince Jul 1, 2009 Accepting new patients
Advanced Radiology P a CurrentSince May 10, 2024 Accepting new patients
Advanced Radiology P a CurrentSince May 10, 2024 Accepting new patients
University of Maryland Diagnostic Radiology, LLC CurrentSince Jul 8, 2017 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Nuclear Imaging & Therapy CurrentSince Jul 8, 2017 Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656

3449 Wilkens Ave
Ste 102
Baltimore, MD 21229
Phone (667) 234-8675

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

Interoperability endpoints

  • Direct secure messaging: wchen5103@direct.umm.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P a 155 clinicians
University Imaging Center, LLC 56 clinicians
University of Maryland Diagnostic Imaging Specialists P a 81 clinicians

Practice addresses (Care Compare)

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (888) 972-9700

419 W Redwood St
Baltimore, MD 21201-1734
Phone (410) 328-3225

4801 Dorsey Hall Dr
Ellicott City, MD 21042-7703

5 Garrett Ave
La Plata, MD 20646-5960
Phone (301) 609-4000

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (888) 972-9700

7501 Osler Dr
Towson, MD 21204-7743
Phone (888) 972-9700

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
  • University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1962551473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST, DEPT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST, DEPT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "WENGEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "MD",
            "license": "D0069044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088338881",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024727800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.