ALICE CHEN MD
NPI 1225618614
Internal Medicine - Infectious Disease in Pittsburgh, PA

Active since April 10, 2021PECOS EnrolledAccepts Medicare Assignment
3601 5TH AVE, PITTSBURGH, PA 15213(412) 648-6406 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2026, May 5, 2026, Jun 19, 2024 and 1 more (4 updates tracked since 2021).

About Alice Chen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE CHEN MD (NPI 1225618614) is an individual infectious disease provider in Pittsburgh, Pennsylvania, licensed in Ohio (35.155964) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225618614
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameALICE CHENCredential: MD
Location Address3601 5TH AVEPittsburgh, PA 15213-3403
Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 10, 2021
Last NPPES UpdateMay 13, 20264 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1225618614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OH · 35.155964
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3601 5TH AVE, Pittsburgh, PA 15213

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alice Chen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638571581
PECOS Enrollment IDI20260630002650
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alice Chen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
4211 STATE ROUTE 44, SUITE 1550
Rootstown, OH 44272
  • Reassigned Medicare billing, Ohio enrollment
  • 655 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Rheumatology)
3601 5TH AVE, SUITE 3B FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Internal Medicine
3601 5TH AVE, SUITE 3A
PITTSBURGH, PA 15213
Physician Assistant
3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE
PITTSBURGH, PA 15213
Specialist
3601 5TH AVE, 610 FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Pharmacist (Pharmacotherapy)
3601 5TH AVE, FALK MEDICAL BLDG., SUITE 3A
PITTSBURGH, PA 15213
Dietitian, Registered
3601 5TH AVE, STE 1-B, ROOM 145-B
PITTSBURGH, PA 15213
Specialist
3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDING
PITTSBURGH, PA 15213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Chen's NPI number?

The NPI number for Alice Chen is 1225618614. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Where is Alice Chen located?

Alice Chen practices at 3601 5th Ave, Pittsburgh, PA 15213. The listed phone number is (412) 648-6406.

What is Alice Chen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Alice Chen enrolled in Medicare?

Yes. Alice Chen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alice Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Chen reassigns Medicare benefits to Summa Physicians LLC (Rootstown, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alice Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alice Chen accept?

Health plans from Anthem Blue Cross and Blue Shield and SummaCare list Alice Chen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alice Chen affiliated with any hospitals?

According to CMS data, Alice Chen is affiliated with Summa Health System.

When was this NPI record last updated?

The NPPES record for Alice Chen was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.