IUN-IU A. CHEN (D.O.) – Family Medicine Physician, NPI 1114288412

IUN-IU A. CHEN (D.O.) is a healthcare provider. based in Petaluma, California. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 252070 (MA). The NPI Number for IUN-IU A. CHEN (D.O.) is 1114288412

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
IUN-IU A. CHEN (D.O.)
NPI
1114288412
Phone
(707) 559-7500
Address
1179 N MCDOWELL BLVD
Enumeration Date
4 June 2012
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
7075597600
Graduation Year
2012 (14 years ago)
PAC ID
6709018872
Group Practice PAC ID
9133180375
Professional Enrollment ID
I20160128002641
Address ID
CA949282149RO5900XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for IUN-IU A. CHEN (D.O.)

  • 1179 N MCDOWELL BLVD

    PETALUMA, CA 949540002

    Phone: (707) 559-7500

    Fax: (707) 559-7620

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-01-28

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160128002641IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94954)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133180375View full group profile
NameSpecialtyState
Family PracticeCA
-CA
Family PracticeCO
Marriage And Family TherapistCA
-CA
-CA
P O D I A T R YCA
Physician AssistantCA
Emergency MedicineCA
Obstetrics/Gynecology, Family PracticeCA

Reviews

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Frequently asked questions

Can I cross-check IUN-IU A. CHEN (D.O.) using NPI 1114288412?
NPI 1114288412 belongs to IUN-IU A. CHEN (D.O.); compare other details if you need extra assurance.
Is IUN-IU A. CHEN (D.O.) shown as active in public data?
Registry records indicate IUN-IU A. CHEN (D.O.) maintains an active NPI.
What clinical focus is listed for IUN-IU A. CHEN (D.O.)?
At a glance, IUN-IU A. CHEN (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is IUN-IU A. CHEN (D.O.) located near Petaluma?
IUN-IU A. CHEN (D.O.) currently maps to Petaluma, California in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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