Active NPI
Austin Chinn
- Podiatrist
- Bourbonnais, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016-005975
- Practice address
- 6712 N Convent St
Bourbonnais, IL 60914-1528 - Phone
- (815) 928-8050
- Fax
- (815) 928-8932
- NPI assigned
- Mar 31, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Podiatrist | 213E00000X | 016-005975 | IL | Primary |
Addresses
Primary practice location
6712 N Convent St
Bourbonnais, IL 60914-1528
Mailing address
900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220808002035 | IL | Practitioner - Podiatry | 1254713225 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Illinois Bone and Joint Institute, LLC
Practice addresses (Care Compare)
200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841
2101 Waukegan Rd
Bannockburn, IL 60015-1836
350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671
500 W Court St
Kankakee, IL 60901-3661
Phone (815) 937-2400
6712 N Convent St
Bourbonnais, IL 60914-1528
Phone (815) 928-8050
6850 Centennial Dr
Tinley Park, IL 60477-1653
Phone (815) 928-8050
Hospital & facility affiliations
- Iroquois Memorial Hospital
- Riverside Medical Center
- Presence St Marys Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 90 |
| Removal of nail tissue | 350 |
| Removal or shaving of skin growth | 59 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-005975 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute, LLC | Podiatrist | Current | Accepting new patients |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
6712 N Convent St
Bourbonnais, IL 60914
Phone (815) 348-9500
5057 Paysphere Cir
Chicago, IL 60674
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201
Interoperability endpoints
- austin.chinn.1@15486.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
IL
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
Podiatrist
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1225599236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 RAND RD STE 300",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162359",
"telephone_number": "847-324-3976",
"fax_number": "847-929-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6712 N CONVENT ST",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609141528",
"telephone_number": "815-928-8050",
"fax_number": "815-928-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINN",
"first_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-31",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016-005975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.