Physician Compare National (NPI:1083617138)

HEALTHCARE PROVIDER: RICHARD CHEN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1083617138
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981786712
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100929000691
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHEN
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERVENTIONAL CARDIOLOGY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	NEVADA CARDIOLOGY PROFESSIONAL ASSN
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8426034307
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3150 N TENAYA WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 460
	Group Practice or individual's line 2 address
City	LAS VEGAS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	891280463
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7022331000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290003
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SUNRISE HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y