Michelle Jolie Chastain, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036.132271 Issued in IL

Practice address

4440 W 95TH St
185W
Oak Lawn, IL 60453-2600

Phone

(708) 684-5375

Fax

(708) 684-1028

NPI assigned

Jul 5, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Services Medical Corporation CoronadoGroup PAC ID 3779904438, 26 clinicians

San Diego Emergency Physicians IncGroup PAC ID 1052771698, 39 clinicians

La Jolla Emergency SpecialistsGroup PAC ID 1153552039, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324
• Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Services Medical Corporation Coronado

  • Emergency Medicine Physician
  • Coronado, CA
  • NPI 1598395675
  Medicare reassignment Care Compare group NPD
• La Jolla Emergency Specialists

  • Emergency Medicine Physician
  • La Jolla, CA
  • NPI 1710315353
  Medicare reassignment Care Compare group NPD
• San Diego Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1194429233
  Medicare reassignment Care Compare group NPD
• Cep America - California

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment NPD
• Emergency Services Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1699725069
  Medicare reassignment NPD
• La Jolla Observation Medicine

  • Emergency Medicine Physician
  • La Jolla, CA
  • NPI 1780122986
  Medicare reassignment NPD
• Cep America - California

  • Emergency Medicine Physician
  • Chula Vista, CA
  • NPI 1457304529
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  Care Compare affiliation
• Sharp Memorial Hospital

  • Rehabilitation Hospital Unit
  • San Diego, CA
  • NPI 1114901352
  Care Compare affiliation
• Sharp Memorial Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1407839921
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1174835359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "address_2": "185W",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-5375",
            "fax_number": "708-684-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "address_2": "185W",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-684-5375",
            "fax_number": "708-684-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTAIN",
        "first_name": "MICHELLE",
        "middle_name": "JOLIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-05",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.132271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwang Kyun Chang, DDS, MS
• Natalie Channell
• Stephanie Chansiri
• Nikil Sridhar Chari, DO
• Emily Chase, PT, DPT
• Dextavius D Chatman, LMSW
• Vinh Quoc Chau, MD
• Salman A Chaudri, D.O.
• Cindy Nalleli Chavez
• Devany Chavez

• Emergency Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.

Verify at the official NPI Registry.