NPIMap

Individual provider Active NPI

Thomas M Chin, MD

  • Family Medicine Physician
  • Bothell, WA
National Provider Identifier
1477553394
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00040792 Issued in WA
Practice address
10414 Beardslee Blvd Ste 100
Bothell, WA 98011-3205
Phone
(425) 486-0658
Fax
(425) 487-6761
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00040792 WA Primary

Addresses

Primary practice location

10414 Beardslee Blvd Ste 100
Bothell, WA 98011-3205

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tchin20004@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071005000260 WA Practitioner - Family Practice 9133214117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HealthpointGroup PAC ID 9335042886, 175 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

10414 Beardslee Blvd
Suite 100
Bothell, WA 98011-3205
Phone (425) 486-0658

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Family Medicine CurrentSince Mar 24, 2003 Accepting new patients
Healthpoint Family Medicine Current Accepting new patients
Healthpoint CurrentSince Mar 24, 2003 Accepting new patients
Horizon Health Services Inc Past Accepting new patients
Healthpoint Family Medicine Past Accepting new patients
Horizon Health Services Inc Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

6016 NE Bothell Way
Ste G
Kenmore, WA 98028
Phone (425) 219-4325

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

403 E Meeker St
Ste 300
Kent, WA 98030
Phone (253) 372-3641

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

Interoperability endpoints

  • Direct secure messaging: tom.chin.p3@direct.hpc.nextgenshare.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 1

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1477553394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10414 BEARDSLEE BLVD STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113205",
            "telephone_number": "425-486-0658",
            "fax_number": "425-487-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00040792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tchin20004@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "10414 Beardslee Blvd Ste 100",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980113205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.