Individual provider Active NPI

James Min, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1215110770
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
125060976 Issued in IL
Practice address
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone
(312) 550-6613
NPI assigned
Dec 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 125060976 IL Primary

Addresses

Primary practice location

1653 W Congress Pkwy
Chicago, IL 60612-3833

Mailing address

900 S Clark St Apt 1403
Chicago, IL 60605-3692
Phone (312) 550-6613

Other identifiers 8

IdentifierTypeStateIssuer
P02054758OtherCARAILROAD MEDICARE
CA305106OtherCAMEDICARE
CB298847OtherCAMEDICARE
CA305107OtherCAMEDICARE
CA305108OtherCAMEDICARE
4892696OtherCAAETNA
6355229OtherCACIGNA
P02054895OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170727001326 CA Practitioner - Diagnostic Radiology 8224322706 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.87
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.35 of 100Reported as group
Quality
53.28
Promoting interoperability
98
Improvement activities
40
Cost
63.18

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Medical Center Tehachapi CurrentSince Apr 15, 2022 Accepting new patients
San Joaquin Community Hospital CurrentSince Apr 15, 2022 Accepting new patients
Adventist Health Medical Center Tehachapi Current Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince May 25, 2017 Accepting new patients
San Joaquin Community Hospital CurrentSince Apr 15, 2022 Accepting new patients
Regents of the University of California Ucsd Department of Radiology Diagnostic Radiology CurrentSince May 25, 2017 Accepting new patients
Los Angeles Radiology Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Adventist Health Physicians Network Past Accepting new patients

Locations

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000

8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1215110770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S CLARK ST APT 1403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053692",
            "telephone_number": "312-550-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-550-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125060976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02054758",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA305106",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB298847",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA305107",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA305108",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4892696",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6355229",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02054895",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.