Active NPI
Jason Tsai Chen, MD
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036126956
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.126956 | Other | IL | ILLINOIS MEDICAL LICENSE NUMBER |
| A76587 | Other | CA | LICENSE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036126956 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orchid Suite Medical Group | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| South Shore Hospital Corporation | Hospital | Corporate Director | Jan 15, 2019 |
| South Shore Hospital Corporation | 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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1053391359
Corporate Director
-
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1689935397
Corporate Director
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.
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1063555456
-
- Nephrology Physician
- Chicago, IL
- NPI 1205019270
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1053391359
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.