Karen De Leon Chin, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M2286 Issued in TX

Practice address

2015 Broadway St
San Antonio, TX 78215-1117

Phone

(210) 961-4118

NPI assigned

Feb 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Karen De Leon Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Premier Physicians-II, P.a.

  • Urgent Care Clinic/Center
  • Woodway, TX
  • NPI 1801204656

  TX

  Medicare reassignment NPD
• Cec Alamo Heights ER Physicians PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Antonio, TX
  • NPI 1194117374
  NPD
• 2013 Broadway Emergency Care LLC

  • Emergency Care Clinic/Center
  • San Antonio, TX
  • NPI 1770093643
  NPD (past)
• 22250 Bulverde Cec Fossil Creek LLC

  • Emergency Care Clinic/Center
  • San Antonio, TX
  • NPI 1740603422
  NPD (past)
• Alamo Heights Complete Care LLC

  • Emergency Care Clinic/Center
  • San Antonio, TX
  • NPI 1609268879
  NPD (past)
• Complete Emergency Care la Vernia LLC

  • Emergency Care Clinic/Center
  • La Vernia, TX
  • NPI 1568835569
  NPD (past)
• Frisco Emergency Medicine Associates, PA

  • Emergency Care Clinic/Center
  • Frisco, TX
  • NPI 1467612176

  Emergency Medicine

  NPD (past)
• La Vernia Erl Acquisition Partners LLC

  • Emergency Care Clinic/Center
  • La Vernia, TX
  • NPI 1225825946
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1750355418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 PINNACLE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612352",
            "telephone_number": "210-521-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151117",
            "telephone_number": "210-961-4118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Dallas St",
            "address_2": "EMERGENCY ROOM",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782051201",
            "country_code": "US",
            "telephone_number": "210-614-0180 x137",
            "fax_number": "210-615-7170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Jbsa Ft Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-539-9582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIN",
        "first_name": "KAREN",
        "middle_name": "DE LEON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M2286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M8138",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177316002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177316001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "DE LEON",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Childsafe
• Robert Chilton, DO
• Thomas Scott Chilton Jr., DO
• Cleveland Chin
• Gayle Leigh Chin, BCBA, LBA
• Linda Marie Chin, RPH
• Vanessa Luzania Chin, CCP
• Xiaoyue O Chin
• Teena C China, AGACNP
• Carol Ann Chincanchan, M.D.

• All providers in San Antonio, TX
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; 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.