Organization Active NPI

South Seattle Nephrology Associates

  • Nephrology Physician
  • Burien, WA
National Provider Identifier
1578714994
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SOUTH SEATTLE NEPHROLOGY ASSOCIATES
Practice address
16233 Sylvester Rd SW
Suite 250
Burien, WA 98166-3045
Phone
(206) 937-3262
NPI assigned
Oct 3, 2008
Last updated
Apr 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Edwin S Chin, MDNPI 1487614830
Title
Owner
Phone
(206) 937-3262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

16233 Sylvester Rd SW
Suite 250
Burien, WA 98166-3045

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090119000039 WA Part B Supplier - Clinic/Group Practice 4082777073 Receives reassigned benefits from 1 practitioner
Practice locations: Auburn, WA; Burien, WA

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1578714994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW",
            "address_2": "SUITE 250",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663045",
            "telephone_number": "206-937-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW",
            "address_2": "SUITE 250",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663045",
            "telephone_number": "206-937-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SEATTLE NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-937-3262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.