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DR. EDWIN CHEN MD, PHD
NPI 1619405149
Internal Medicine - Infectious Disease in Sugar Land, TX

Active since May 29, 2017PECOS EnrolledAccepts Medicare Assignment
14100 SOUTHWEST FWY STE 500, SUGAR LAND, TX 77478(346) 333-2356 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 26, 2026, Apr 20, 2026, Apr 14, 2026 and 3 more (6 updates tracked since 2017).

About Dr. Edwin Chen Md, Phd NPPES

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

DR. EDWIN CHEN MD, PHD (NPI 1619405149) is an individual infectious disease provider in Sugar Land, Texas, licensed in Texas (U9227) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1619405149
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. EDWIN CHENCredential: MD, PHD
Location Address14100 SOUTHWEST FWY STE 500Sugar Land, TX 77478-3483
Mailing AddressPo Box 58538Webster, TX 77598-8538
Phone(346) 333-2356
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 29, 2017
Last NPPES UpdateMay 26, 20266 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1619405149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in TX · U9227✔ Licensed in PA · MD480963
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License U9227 (TX), MD480963 (PA)
14100 SOUTHWEST FWY STE 500, Sugar Land, TX 77478
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1905 W Medical Center Blvd Ste 306Webster, TX 77598-4009 · Phone (281) 724-8332
Location 2200 Lothrop StPittsburgh, PA 15213-2536 · Phone (412) 647-2345
Location 3905 W Medical Center Blvd Ste 304Webster, TX 77598-4009 · Phone (281) 724-8336
Location 4500 N Kobayashi Ste CWebster, TX 77598-4722 · Phone (281) 816-3092
Location 56411 Fannin StHouston, TX 77030-1501 · Phone (713) 704-4000
Location 65656 Kelley StHouston, TX 77026-1967 · Phone (713) 566-5100
Location 7500 N Kobayashi Ste AWebster, TX 77598-4722 · Phone (281) 724-7341

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Edwin Chen Md, Phd 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 ID345696043
PECOS Enrollment IDI20240603003202
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 Reassignments

4

Medicare enrollment records show Edwin Chen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Physicians
14 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325
Clear Lake Hospitalists PA
29 mi
Internal Medicine
500 N KOBAYASHI STE A
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 54 clinicians in this Medicare group
NPI 1467476051 (281) 724-7341
Cls Health PLLC
29 mi
Pulmonary Disease
500 N KOBAYASHI STE A
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 275 clinicians in this Medicare group
NPI 1750305355 (281) 724-1860
University Of Pittsburgh Physicians
1,137 mi
Neurological Surgery
425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1811945793 (330) 386-3195

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77478 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 15

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

KHADIJA TAYABALI M.D.
Internal Medicine (Infectious Disease)
14100 SOUTHWEST FWY STE 500
SUGAR LAND, TX 77478
Fort Bend County (346) 333-2356
DR. SUSHMA SINGH MBBS
Internal Medicine (Infectious Disease)
14100 SOUTHWEST FWY STE 500
SUGAR LAND, TX 77478
Fort Bend County (346) 333-2356
SHASHERA PRINGLE FNP-BC
Nurse Practitioner (Family)
14100 SOUTHWEST FWY STE 500
SUGAR LAND, TX 77478
Fort Bend County (281) 972-4972
MRS. EDITH EJOKPAOGHENE EMENIKE-OGBORU DNP, FNP-C
Nurse Practitioner (Family)
14100 SOUTHWEST FWY STE 500
SUGAR LAND, TX 77478
Fort Bend County (346) 333-2356
DEEPAL SHAH M.D.
Psychiatry & Neurology (Neurology)
14100 SOUTHWEST FWY STE 500
SUGAR LAND, TX 77478
Fort Bend County (713) 774-0800
DR. ABDUL RAHMAN BA D.P.M
Podiatrist (Foot & Ankle Surgery)
14100 SOUTHWEST FWY STE 500
SUGAR LAND, TX 77478
Fort Bend County (346) 209-3098
SYEDA ZAINAB WASTI M.D.
Internal Medicine (Infectious Disease)
14100 SOUTHWEST FWY STE 500
SUGAR LAND, TX 77478
Fort Bend County (346) 333-2356
DR. VIJAIGANESH NAGARAJAN MBBS, MD
Internal Medicine (Interventional Cardiology)
14100 SOUTHWEST FWY STE 500
SUGAR LAND, TX 77478
Fort Bend County (832) 509-4620

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 Edwin Chen's NPI number?

The NPI number for Edwin Chen is 1619405149. It was assigned to this individual provider in the NPPES registry on May 29, 2017.

Where is Edwin Chen located?

Edwin Chen practices at 14100 Southwest Fwy Ste 500, Sugar Land, TX 77478. The listed phone number is (346) 333-2356.

What is Edwin Chen's specialty?

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

Is Edwin Chen enrolled in Medicare?

Yes. Edwin 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 organizations bill Medicare for Edwin Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Chen reassigns Medicare benefits to 4 organizations: Ut Physicians (Houston, TX), Clear Lake Hospitalists PA (Webster, TX), Cls Health PLLC (Webster, TX) and University Of Pittsburgh Physicians (East Liverpool, OH). Each 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 Edwin Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwin Chen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Edwin 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 Edwin Chen affiliated with any hospitals?

According to CMS data, Edwin Chen is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System and Memorial Hermann Memorial City Hospital.

When was this NPI record last updated?

The NPPES record for Edwin Chen was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.