Individual provider Active NPI

Jamie Chin-Theodorou, MD

  • Internal Medicine Physician
  • Chesterton, IN
National Provider Identifier
1326439241
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.068540 Issued in IL
Practice address
3100 Village PT Ste 102
Chesterton, IN 46304-9695
Phone
(219) 395-1046
Fax
(219) 395-1570
NPI assigned
Feb 13, 2015
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.068540 IL Primary

Addresses

Primary practice location

3100 Village PT Ste 102
Chesterton, IN 46304-9695

Mailing address

3100 Village PT Ste 102
Chesterton, IN 46304-9695
Phone (219) 395-1046

Other practice location 1

2160 S 1st Ave
Loyola Outpatient Center
Maywood, IL 60153-3328
Phone (708) 216-5368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210820000206 IN Practitioner - NephrologyPractitioner - Internal Medicine 1759673593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Northwestern University Feinberg Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duneland Nephrology PCGroup PAC ID 7113920281, 4 clinicians

Practice addresses (Care Compare)

3100 Village PT
Suite 102
Chesterton, IN 46304-9695
Phone (219) 395-1046

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as group
Quality
77.34
Improvement activities
40
Cost
76.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duneland Nephrology PC CurrentSince Aug 1, 2021 Accepting new patients

Locations

3100 Village Pt
Ste 101
Chesterton, IN 46304
Phone (219) 395-8020

3100 Village Pt
Ste 102
Chesterton, IN 46304
Phone (219) 395-0146

Interoperability endpoints

  • Direct secure messaging: jchintheodorou598841@direct.franciscanalliance.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1326439241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 VILLAGE PT STE 102",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049695",
            "telephone_number": "219-395-1046",
            "fax_number": "219-395-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 VILLAGE PT STE 102",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049695",
            "telephone_number": "219-395-1046",
            "fax_number": "219-395-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_2": "Loyola Outpatient Center",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-5368",
            "fax_number": "708-216-5368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIN-THEODOROU",
        "first_name": "JAMIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2025-09-11",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.068540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

Verify at the official NPI Registry.