Active NPI
Jacqueline Dinh, MD
- Critical Care Medicine (Internal Medicine) Physician
- Chicago, IL
National Provider Identifier
1477180800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 036180551
- Practice address
- 2875 W 19TH St
Chicago, IL 60623-3501 - Phone
- (773) 484-1000
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036180551 | IL | Primary |
| Pulmonary Disease Physician | 207RP1001X | 036180551 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2875 W 19TH St
Chicago, IL 60623-3501
Mailing address
725 Albany St
Shapiro Primary Care - Precepting Room
Boston, MA 02118-3549
Other practice location 1
725 Albany St Fl 9
Boston, MA 02118-3549
Phone (617) 638-7480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201109000847 | MA | Order and Referring Only - Internal Medicine | 0941610604 |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- New York Medical College, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1340 S Damen Ave
Chicago, IL 60608-1169
1340 S Damen Ave
Suite 200
Chicago, IL 60608-1170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Evans Medical Foundation, Inc. | Pulmonary Disease | Past | Accepting new patients |
| Brockton Hospital, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jdinh132069@direct.bmc.masshiway.net
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1477180800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 ALBANY ST",
"address_2": "SHAPIRO PRIMARY CARE - PRECEPTING ROOM",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 W 19TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233501",
"telephone_number": "773-484-1000"
}
],
"practiceLocations": [
{
"address_1": "725 Albany St Fl 9",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021183549",
"country_code": "US",
"telephone_number": "617-638-7480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DINH",
"first_name": "JACQUELINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036180551",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036180551",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.