MIKE KUANG SING CHEN MD
NPI 1154342772
Surgery - Pediatric Surgery in Birmingham, AL
NPI Status: Active since July 21, 2006
Contact Information
1600 7TH AVE S
ACC 300
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 939-9688
Fax: (205) 975-4972
- Individual
- Male
- Years of Experience 40
- Surgery
- Pediatric Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MIKE CHEN
This page provides the complete NPI Profile along with additional information for Mike Chen, a provider established in Birmingham, Alabama with a medical specialization in Surgery, focusing in pediatric surgery and more than 40 years of experience. He graduated from University Of Texas Medical School At Houston in 1987. The healthcare provider is registered in the NPI registry with number 1154342772 assigned on July 2006. The practitioner's primary taxonomy code is 2086S0120X with license number 29653 (AL). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1154342772
- Provider Name
- MIKE KUANG SING CHEN MD
- Other Name
- MIKE KUANG SING CHEN
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1600 7TH AVE S ACC 300 BIRMINGHAM, AL 35233
- Location Phone
- (205) 939-9688
- Location Fax
- (205) 975-4972
- Mailing Address
- 1600 7TH AVE S ACC 300 BIRMINGHAM, AL 35233
- Mailing Phone
- (205) 939-9688
- Mailing Fax
- (205) 975-4972
- Medical School Name
- UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
- Graduation Year
- 1987
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-21-2006
- Last Update Date
- 10-07-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Pediatric Surgery
- Taxonomy Code
- 2086S0120X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 29653
- License State
- AL
- Taxonomy Description
- A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Saver Silver EPO - EPO
- Blue Standardized Silver EPO - EPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Simple Chronic Care CKM - HMO
- Gold Classic Standard - HMO
- Silver Classic Standard - HMO
- Silver Simple - HMO
- Silver Simple Chronic Care CKM - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 051065714 | OTHER (01) | AL | BCBS AL |
| 08384254 | OTHER (01) | MS | MISSISSIPPI MEDICAID |
| 102I021001 | MEDICARE PIN (08) | ||
| F61680 | MEDICARE UPIN (02) | ||
| 259040900 | MEDICAID (05) | FL | |
| 114137 | MEDICAID (05) | AL | |
| 68641 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | |
| 68641Y | MEDICARE PIN (08) |
Medicare Participation & PECOS Enrollment Status
Mike Chen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mike Chen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7911043831
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20091007000415
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154342772, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154342772, enumerated as an "individual" on July 21, 2006.
The provider is located at 1600 7TH AVE S ACC 300 BIRMINGHAM, AL 35233 and the phone number is (205) 939-9688.
Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Molina. Please consult your insurance carrier or call the provider to verify.
