Individual provider Active NPI

Jason Tsai Chen, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1972543239
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036126956 Issued in IL
Practice address
8012 S Crandon Ave Ste 100
Chicago, IL 60617-1124
Phone
(773) 356-5415
Fax
(773) 768-6141
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036126956 IL Primary
Internal Medicine Physician 207R00000X A76587 CA

Addresses

Primary practice location

8012 S Crandon Ave Ste 100
Chicago, IL 60617-1124

Mailing address

1000 Village Center Dr Unit 204
Burr Ridge, IL 60527-4540
Phone (714) 450-0198

Other identifiers 2

IdentifierTypeStateIssuer
036.126956OtherILILLINOIS MEDICAL LICENSE NUMBER
A76587OtherCALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110325000858 IL Practitioner - Internal Medicine 2567422132 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8012 S Crandon Ave
Chicago, IL 60617-1124
Phone 77376808105415

Hospital & facility affiliations

  • South Shore Hospital Hospital, Chicago, IL, CCN 140181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036126956ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Suite Medical Group CurrentSince Jul 28, 2024 Accepting new patients
Ernesto Cabrera MD Past Accepting new patients

Locations

8012 S Crandon Ave
Ste 100
Chicago, IL 60617
Phone (773) 356-5415

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Shore Hospital CorporationChicago, IL, CCN 140181 Hospital Corporate Director Jan 15, 2019
South Shore Hospital CorporationChicago, IL, CCN 14S181 Hospital Corporate Director Jan 15, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1972543239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VILLAGE CENTER DR UNIT 204",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605274540",
            "telephone_number": "714-450-0198",
            "fax_number": "773-768-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 S CRANDON AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171124",
            "telephone_number": "773-356-5415",
            "fax_number": "773-768-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JASON",
        "middle_name": "TSAI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036126956",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76587",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS MEDICAL LICENSE NUMBER",
            "identifier": "036.126956",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A76587",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.