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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SOPHIA Y CHEN MD
NPI 1467842682
Colon & Rectal Surgery in New York, NY

Active since January 26, 2015PECOS Enrolled
530 1ST AVE STE 7V, NEW YORK, NY 10016(646) 501-0584(646) 501-9995 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2026, Jun 17, 2025, Mar 24, 2018 (3 updates tracked since 2018).

About Dr. Sophia Y Chen Md NPPES

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

DR. SOPHIA Y CHEN MD (NPI 1467842682) is an individual colon & rectal surgery provider in New York, New York, licensed in New York (334776) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467842682
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. SOPHIA Y CHENCredential: MD
Location Address530 1ST AVE STE 7VNew York, NY 10016-6402
Mailing Address530 1st Ave Ste 7vNew York, NY 10016-6402 · (646) 501-0584 · Fax (646) 501-9995
Phone(646) 501-0584
Fax(646) 501-9995
Sole ProprietorYes
Enumeration DateJanuary 26, 2015
Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1467842682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NY · 334776
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
530 1ST AVE STE 7V, New York, NY 10016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sophia Y Chen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sophia Chen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,039 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 6

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

DR. ARMAN ERKAN MD
Colon & Rectal Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
New York County (646) 501-8670
DR. ANDRE DA LUZ MOREIRA M.D.
Colon & Rectal Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
New York County (646) 501-8670
DR. JOHN KIRAT MD
Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
New York County (646) 501-8670
DR. DAVID MATTHEW SCHWARTZBERG M.D.
Colon & Rectal Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
New York County (646) 501-8670
DR. JESSICA SIMON MD
Colon & Rectal Surgery
530 1ST AVE STE 7V
NEW YORK, NY 10016
New York County (646) 501-8670
LAUREN NICOLE DEBAERE PHYSICIAN ASSISTANT
Physician Assistant
530 1ST AVE STE 7V
NEW YORK, NY 10016
New York County (646) 501-0584

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 Sophia Chen's NPI number?

The NPI number for Sophia Chen is 1467842682. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Sophia Chen located?

Sophia Chen practices at 530 1st Ave Ste 7V, New York, NY 10016. The listed phone number is (646) 501-0584.

What is Sophia Chen's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Sophia Chen enrolled in Medicare?

Yes. Sophia Chen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophia Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Chen reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Sophia Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Chen was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.