Michael Chin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

217244 Issued in MA

Practice address

287 Western Ave
Allston, MA 02134-1010

Phone

(617) 783-0500

Fax

(617) 787-4359

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Charles River Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Brighton, MA
  • NPI 1487664884
  NPD (past)
• Mt Auburn Professional Services

  • Obstetrics & Gynecology Physician
  • Watertown, MA
  • NPI 1407865439
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720074164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FAIRHOPE RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024932165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 WESTERN AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341010",
            "telephone_number": "617-783-0500",
            "fax_number": "617-787-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "217244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Cawdette
• Nicole Censullo
• Elaine Chan
• Charles River Community Health, Inc
• Luhao Eric Chen, DDS
• Terese C Chipman, APRN BC
• Jessica Ann Chmielewski, MSW
• Natalie Cho
• Maeghan Christensen, PT, DPT
• Brendyl Kendra Christison

• Family Medicine Physician in Allston, MA
• Providers in Allston, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.