Active NPI
Ashley M Chin, M.D.
- Family Medicine Physician
- Magnolia, TX
National Provider Identifier
1174573554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L6827
- Practice address
- 6318 FM 1488 Rd
Suite 100
Magnolia, TX 77354-2763 - Phone
- (936) 321-3110
- Fax
- (936) 321-3125
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L6827 | TX | Primary |
Addresses
Primary practice location
6318 FM 1488 Rd
Suite 100
Magnolia, TX 77354-2763
Mailing address
12 Thunder Hollow PL
The Woodlands, TX 77381-5139
Phone (832) 265-3014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167652001 | Medicaid | TX | |
| A0129963 | Other | TX | DPS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6318 FM 1488 Rd
Suite 100
Magnolia, TX 77354-2763
Phone (936) 321-3110
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Tops Surgical Specialty Hospital
- Houston Methodist the Woodlands Hospital
- St Luke'S the Woodlands Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6827 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinewood Medical Clinic, PA | Family Medicine | Current | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
6318 FM 1488 Rd
Ste 100
Magnolia, TX 77354
Phone (832) 265-3104
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBIABA/Endpoint/EBIABA
- ashley.chin@pinemedclinic.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Magnolia, TX
- NPI 1609896158
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
-
- General Acute Care Hospital
- Houston, TX
- NPI 1144203662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1174573554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 THUNDER HOLLOW PL",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773815139",
"telephone_number": "832-265-3014",
"fax_number": "936-321-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6318 FM 1488 RD",
"address_2": "SUITE 100",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773542763",
"telephone_number": "936-321-3110",
"fax_number": "936-321-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "ASHLEY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L6827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167652001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "A0129963",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.