Individual provider Active NPI

Edwin Sy Chin, MD

  • Nephrology Physician
  • Burien, WA
National Provider Identifier
1487614830
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD00034331 Issued in WA
Practice address
16122 8TH Ave SW Ste E2
Burien, WA 98166-2967
Phone
(206) 937-3262
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00034331 WA
Internal Medicine Physician 207R00000X MD23813 OR
Nephrology Physician 207RN0300X MD23813 OR
Nephrology Physician 207RN0300X MD00034331 WA Primary

Addresses

Primary practice location

16122 8TH Ave SW Ste E2
Burien, WA 98166-2967

Mailing address

PO Box 66596
Seattle, WA 98166-0596
Phone (206) 937-3262

Other practice location 1

16233 Sylvester Rd SW
Suite 250
Burien, WA 98166-3045
Phone (206) 937-3262

Other identifiers 2

IdentifierTypeStateIssuer
8204083MedicaidWA
G8851019OtherWAMEDICARE GROUP PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050208000807 WA Practitioner - Nephrology 5597716464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 N Division St
Suite 340
Auburn, WA 98001-4931
Phone (253) 249-7834

Hospital & facility affiliations

  • NKC Seatac Kidney Center Dialysis facility, Seatac, WA, CCN 502509
  • DaVita Westwood Dialysis Center Dialysis facility, Seattle, WA, CCN 502544
  • NKC Burien Kidney Center Dialysis facility, SeaTac, WA, CCN 502523
  • NKC Yesler Terrace Kidney Center Dialysis facility, Seattle, WA, CCN 502500
  • NKC Renton Kidney Center Dialysis facility, Renton, WA, CCN 502508
  • Highline Medical Center Hospital, Burien, WA, CCN 500011
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD23813ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Seattle Nephrology Associates Nephrology CurrentSince Dec 11, 2008 Accepting new patients
Davita Nephrology Medical Associates of Washington, PC Nephrology Past Accepting new patients
Lourdes Hospital LLC Past Accepting new patients

Locations

121 N Division St
Ste 340
Auburn, WA 98001
Phone (253) 249-7834

914 D St NE
Ste 103
Auburn, WA 98002
Phone (206) 937-3262

16233 Sylvester Rd SW
Ste 250
Burien, WA 98166
Phone (206) 937-3262

16122 8th Ave SW
Ste E2
Burien, WA 98166
Phone (206) 937-3262

Interoperability endpoints

  • Direct secure messaging: echin110120@direct.multicare.org

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.

Hospital & facility affiliations 9

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1487614830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66596",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981660596",
            "telephone_number": "206-937-3262",
            "fax_number": "206-938-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16122 8TH AVE SW STE E2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662967",
            "telephone_number": "206-937-3262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16233 Sylvester Rd SW",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981663045",
            "country_code": "US",
            "telephone_number": "206-937-3262",
            "fax_number": "206-938-7621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIN",
        "first_name": "EDWIN",
        "middle_name": "SY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00034331",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD23813",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD23813",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00034331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8204083",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "G8851019",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.