Individual provider Active NPI

Jonathan Weilon Chin, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Austin, TX
National Provider Identifier
1306131966
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
Q8036 Issued in TX
Practice address
1600 W 38TH St Ste 306
Austin, TX 78731
Phone
(512) 963-6566
NPI assigned
Jun 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 261976 MA
Anesthesiology Physician 207L00000X 557742 TX
Pain Medicine Physician 208VP0000X Q8036 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X Q8036 TX Primary

Addresses

Primary practice location

1600 W 38TH St Ste 306
Austin, TX 78731

Mailing address

1600 W 38TH St Ste 306
Austin, TX 78731-6406
Phone (512) 846-3100

Other practice location 1

1709 Dryden Rd
Suite 1700
Houston, TX 77030-2400
Phone (713) 798-5117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2021 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
557742TXMDAnesthesiology Physician
Q8036TXMDPain Medicine Physician

Interoperability endpoints

  • Direct secure messaging: jonathan.chin.1@18016.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1306131966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316406",
            "telephone_number": "512-846-3100",
            "fax_number": "512-846-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-963-6566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Dryden Rd",
            "address_2": "Suite 1700",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302400",
            "country_code": "US",
            "telephone_number": "713-798-5117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIN",
        "first_name": "JONATHAN",
        "middle_name": "WEILON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-12",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "261976",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "557742",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "Q8036",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q8036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.