Physician Compare National (NPI:1558780213)

HEALTHCARE PROVIDER: KE XUN 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	1558780213
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113358854
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200512002922
	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	KE XUN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	EINSTEIN PRACTICE PLAN INC
	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	2769395896
	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	546
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 MARKET ST
	Group Practice or individual's line 1 address
City	COLLEGEVILLE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	194264927
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390142
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ALBERT EINSTEIN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390329
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EINSTEIN MEDICAL CENTER MONTGOMERY
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y