Active NPI
Jonathan Weilon Chin, M.D.
- Pain Medicine (Anesthesiology) Physician
- Austin, TX
National Provider Identifier
1306131966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- Q8036
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 557742 | TX | MD | Anesthesiology Physician |
| Q8036 | TX | MD | Pain Medicine Physician |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.