Active NPI
David Tian Chin, M.D.
- Critical Care Medicine (Anesthesiology) Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- 036170596
- Practice address
- 1775 Dempster St Ste Aip
Park Ridge, IL 60068-1143 - Phone
- (800) 655-2656
- Fax
- (412) 822-7411
- NPI assigned
- Mar 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 036170596 | IL | Primary |
| Anesthesiology Physician | 207L00000X | A166652 | CA |
Addresses
Primary practice location
1775 Dempster St Ste Aip
Park Ridge, IL 60068-1143
Mailing address
29373 Network PL
Chicago, IL 60673-1285
Phone (847) 390-5900
Other practice location 1
513 Parnassus Ave # S455E
San Francisco, CA 94143-2205
Phone (415) 514-3781
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dchin403992@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Rutgers New Jersey Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advocate Health and Hospitals Corporation
Practice addresses (Care Compare)
1775 Dempster St
Park Ridge, IL 60068-1143
Hospital & facility affiliations
- Advocate Lutheran General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A166652 | CA | MD | Anesthesiology Physician |
| 036170596 | IL | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesia Medical Group | Anesthesiology | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients |
Locations
2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
513 Parnassus Ave
#S455E
San Francisco, CA 94143
Phone (415) 514-3781
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
28592 Network Pl
Chicago, IL 60673
4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
1775 Dempster St
Ste Aip
Park Ridge, IL 60068
Phone (708) 283-5500
Interoperability endpoints
- dchin97381@direct-ucsfmedicalcenter.org
- dchin403992@direct.myadvocateaurora.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Oak Lawn, IL
- NPI 1629441027
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1528137296
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1023513645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731285",
"telephone_number": "847-390-5900",
"fax_number": "412-822-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 DEMPSTER ST STE AIP",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143",
"telephone_number": "800-655-2656",
"fax_number": "412-822-7411"
}
],
"practiceLocations": [
{
"address_1": "513 Parnassus Ave # S455E",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432205",
"country_code": "US",
"telephone_number": "415-514-3781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIN",
"first_name": "DAVID",
"middle_name": "TIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "IL",
"license": "036170596",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A166652",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dchin403992@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1775 Dempster St Ste Aip",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1775 Dempster St Ste Aip",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park Ridge, IL
- Chicagoland Home Health Provider, Inc.
- Chicagoland Home Health Provider, Inc.
- Brian Allen Chicoine, MD
- Terry Chris Chiganos Jr., M.D., PH.D.
- Children'S Urology Health Partners
- Kristy Chin
- Sophia Chin, M.D.
- Chiropractic and Acupuncture Center Inc
- Chiropractic Physicians of Park Ridge
- Erin Renee Chiseri, M.A. CCC- SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.