Active NPI
Jamie Chin-Theodorou, MD
- Internal Medicine Physician
- Chesterton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125.068540
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Northwestern University Feinberg Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Village PT
Suite 102
Chesterton, IN 46304-9695
Phone (219) 395-1046
Hospital & facility affiliations
- Northwest Health-la Porte
- Franciscan Health Michigan City
- Northwest Health - Porter
- Northwest Health - Starke
- St Mary Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.72 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duneland Nephrology PC | Current | 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
- 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.
-
- Nephrology Physician
- Chesterton, IN
- NPI 1598709685
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
dba Northwest Health- Starke
- Rural Acute Care Hospital
- Knox, IN
- NPI 1679948319
-
dba Northwest Health-La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
-
dba Northwest Health-Porter
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.