Individual provider Active NPI

Peter Ted Hsin, M.D.

  • Psychiatry Physician
  • Evanston, IL
National Provider Identifier
1811197940
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Practice address
708 Church St
#216
Evanston, IL 60201-3875
Phone
(312) 804-8489
Fax
(847) 864-4744
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X IL Primary

Addresses

Primary practice location

708 Church St
#216
Evanston, IL 60201-3875

Mailing address

2437 Ridge Ave
Evanston, IL 60201-2434
Phone (312) 804-8489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070920000857 IL Practitioner - Psychiatry 4688768641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rush Medical College of Rush University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nicholas Dunkas MD and AssociatesGroup PAC ID 0648364604, 3 clinicians

Practice addresses (Care Compare)

708 Church St
Suite 216
Evanston, IL 60201-3881
Phone (847) 868-0310

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036116211ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Dunkas MD and Associates CurrentSince Aug 9, 2007 Accepting new patients

Locations

708 Church St
Ste 216
Evanston, IL 60201
Phone (847) 864-4744

Organizations & group practices 1

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 1

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1811197940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012434",
            "telephone_number": "312-804-8489",
            "fax_number": "847-864-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST",
            "address_2": "#216",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013875",
            "telephone_number": "312-804-8489",
            "fax_number": "847-864-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIN",
        "first_name": "PETER",
        "middle_name": "TED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.