Active NPI
Melissa Mikiko Chin, MD
- Hospitalist Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD61076166
- Practice address
- 1708 Yakima Ave Ste 120
Tacoma, WA 98405-5300 - Phone
- (253) 596-3696
- Fax
- (253) 596-3753
- NPI assigned
- Jul 21, 2006
- Last updated
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD16392 | RI | |
| Hospitalist Physician | 208M00000X | MD61076166 | WA | Primary |
Addresses
Primary practice location
1708 Yakima Ave Ste 120
Tacoma, WA 98405-5300
Mailing address
1708 Yakima Ave Ste 120
Tacoma, WA 98405-5300
Phone (253) 596-3696
Other practice location 1
164 Summit Ave
Providence, RI 02906
Phone (401) 793-4489
Other practice location 2
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6970
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61076166 | WA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients |
Locations
6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000
10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000
2425 Enborg Ln
San Jose, CA 95128
Phone (408) 885-5400
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- mchin527868@ghc.direct-ci.net
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
dba Valley Health Center at Moorpark-Puentes
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1336135912
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Inglewood, CA
- NPI 1821635079
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Lab PAC LAB
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1659585370
Hospital
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1760403224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE STE 120",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055300",
"telephone_number": "253-596-3696",
"fax_number": "253-596-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE STE 120",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055300",
"telephone_number": "253-596-3696",
"fax_number": "253-596-3753"
}
],
"practiceLocations": [
{
"address_1": "164 Summit Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "02906",
"country_code": "US",
"telephone_number": "401-793-4489",
"fax_number": "401-793-4047",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1717 S J St",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984054933",
"country_code": "US",
"telephone_number": "253-426-6970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIN",
"first_name": "MELISSA",
"middle_name": "MIKIKO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD16392",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD61076166",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1717 S J St",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054933",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.