Chin Family Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHIN FAMILY CLINIC LLC

Practice address

7855 S Emerson Ave Ste D
Indianapolis, IN 46237-8669

Phone

(317) 821-7800

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Mai Sung Chin, NPNPI 1992352074

Title

Owner

Phone

(317) 821-7800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mai Sung Chin, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1992352074
  Medicare reassignment NPD Authorized official
• David Ensley, M.D. PC

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
  • NPI 1912929266
  NPD
• Delaney Ann Hartman, PA-C

  • Physician Assistant
  • Avon, IN
  • NPI 1255093514
  NPD (past)

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1477384451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378669",
            "telephone_number": "301-442-6914",
            "fax_number": "317-891-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378669",
            "telephone_number": "317-821-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIN FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "SUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-821-7800",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjeev Ram Chilukuri, MD
• Kathleen Chimbanda, DT
• Julie S Chimenti, OTRL
• Rose Chimenti
• Maryann Chinwe Chimhanda, MD
• Mai Sung Chin, FNP-C
• Patricia A Chin, NP
• William Youngin Chin
• Wendell Claudius Chinn Sr., MSW
• Dheeraj Chinnam, MBBS, MD

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.