NPIMap

Individual provider Active NPI

Chin Yi, MD

  • Family Medicine Physician
  • Belleville, MI
National Provider Identifier
1649259532
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301074619 Issued in MI
Practice address
201 3Rd St
Suite 300
Belleville, MI 48111-2605
Phone
(734) 697-9055
NPI assigned
Jan 10, 2006
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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 4301074619 MI Primary

Addresses

Primary practice location

201 3Rd St
Suite 300
Belleville, MI 48111-2605

Mailing address

15500 Lundy Pkwy
Dearborn, MI 48126-2778
Phone (313) 586-5011

Other identifiers 1

IdentifierTypeStateIssuer
CY074619OtherMIMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060109000425 MI Practitioner - Family Practice 6305869066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

2001 S Merriman Rd
100 Corewell Health Wayne Hospital Fami
Westland, MI 48186-5540
Phone (947) 522-1858

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301074619MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Oct 1, 2005 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Oct 1, 2005 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

201 3rd St
Ste 300
Belleville, MI 48111
Phone (734) 697-9055

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

2001 S Merriman Rd
Ste 100
Westland, MI 48186
Phone (734) 727-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1649259532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 LUNDY PKWY",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262778",
            "telephone_number": "313-586-5011",
            "fax_number": "313-792-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 3RD ST",
            "address_2": "SUITE 300",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112605",
            "telephone_number": "734-697-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "CHIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "CY074619",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, MI

Sources for this page

Verify at the official NPI Registry.