Individual provider Active NPI

Thomas Tung Ching Chen, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1992875538
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8155 Issued in NV
Practice address
653N Town Center Dr 404
Las Vegas, NV 89144-0518
Phone
(702) 454-0014
Fax
(702) 454-0018
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8155 NV Primary

Addresses

Primary practice location

653N Town Center Dr 404
Las Vegas, NV 89144-0518

Mailing address

PO Box 370908
Las Vegas, NV 89137-0908
Phone (702) 454-0014

Other identifiers 2

IdentifierTypeStateIssuer
002018182OtherNVMEDICAID
003102382OtherNVMEDICAID HEALTHY KIDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20051121000412 NV Practitioner - Internal Medicine 6608895719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

653 N Town Ctr Dr
Suite 500
Las Vegas, NV 89144-0519
Phone (702) 454-0014

Hospital & facility affiliations

  • Valley Health at Home by Bayada Home health agency, Las Vegas, NV, CCN 297106
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: broderick@thomaschenmd.officeally.direct

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 3

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1992875538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370908",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891370908",
            "telephone_number": "702-454-0014",
            "fax_number": "702-454-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653N TOWN CENTER DR 404",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440518",
            "telephone_number": "702-454-0014",
            "fax_number": "702-454-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "THOMAS",
        "middle_name": "TUNG CHING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "002018182",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HEALTHY KIDS",
            "identifier": "003102382",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.