Physician Compare National (NPI:1396803474)

HEALTHCARE PROVIDER: SAMUEL CHEN MD, PH.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	1396803474
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739080946
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100910000727
	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	CHENG
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9180 BELLAIRE BLVD E
	Group Practice or individual's line 1 address
City	HOUSTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	770364600
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450184
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450848
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEMORIAL HERMANN SUGAR LAND HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450068
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL HERMANN - TEXAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450011
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CHI ST JOSEPH HEALTH
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450610
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	MEMORIAL HERMANN MEMORIAL CITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	M

Physician Compare National (NPI:1396803474)

HEALTHCARE PROVIDER: SAMUEL CHEN MD, PH.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information