Individual provider Active NPI

Albert J Chinn, MD

  • Pulmonary Disease Physician
  • Hot Springs, AR
National Provider Identifier
1801857305
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
E8694 Issued in AR
Practice address
1900 Malvern Ave
Suite 301
Hot Springs, AR 71901-7759
Phone
(501) 624-4700
Fax
(501) 624-4705
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X E8694 AR Primary

Addresses

Primary practice location

1900 Malvern Ave
Suite 301
Hot Springs, AR 71901-7759

Mailing address

1900 Malvern Ave
Suite 301
Hot Springs, AR 71901-7759
Phone (501) 624-4700

Other identifiers 1

IdentifierTypeStateIssuer
1106071MedicaidLA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140825002642 AR Practitioner - Pulmonary Disease 8123116878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
East Tennessee State University Quillen College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Healthcare Services LLCGroup PAC ID 9335134402, 19 clinicians

Practice addresses (Care Compare)

1900 Malvern Ave
Hot Springs, AR 71901-7778

1900 Malvern Ave
Suite 201
Hot Springs, AR 71901-7777
Phone (501) 623-6455

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 625-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8694ARMDPulmonary Disease Physician
18333TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Healthcare Services LLC Pulmonary Disease CurrentSince Jul 1, 2014 Accepting new patients
Hot Springs National Park Hospital Holdings LLC Past Accepting new patients

Locations

1900 Malvern Ave
Ste 201
Hot Springs National Park, AR 71901
Phone (501) 623-6455

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

1900 Malvern Ave
Ste 302
Hot Springs National Park, AR 71901
Phone (501) 623-9300

1900 Malvern Ave
Ste 301
Hot Springs National Park, AR 71901
Phone (501) 321-0555

Interoperability endpoints

  • Direct secure messaging: albert.chinn.1@2554.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1801857305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MALVERN AVE",
            "address_2": "SUITE 301",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017759",
            "telephone_number": "501-624-4700",
            "fax_number": "501-624-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MALVERN AVE",
            "address_2": "SUITE 301",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017759",
            "telephone_number": "501-624-4700",
            "fax_number": "501-624-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINN",
        "first_name": "ALBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "E8694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106071",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.