Active NPI
Amy Chelin, M.D.
- Emergency Medicine Physician
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 125058121
- Practice address
- 611 W Park St
Urbana, IL 61801-2500 - Phone
- (217) 383-3313
- Fax
- (217) 383-4014
- NPI assigned
- Jun 16, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125058121 | IL | Primary |
Addresses
Primary practice location
611 W Park St
Urbana, IL 61801-2500
Mailing address
PO Box 6002
Urbana, IL 61803-6002
Phone (217) 326-8630
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130311000161 | IL | Practitioner - Emergency Medicine | 1759536121 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carle Health Care Incorporated
Practice addresses (Care Compare)
1701 W Curtis Rd
Champaign, IL 61822-9678
Phone (217) 365-6200
1818 E Windsor Rd
Urbana, IL 61802-9566
Phone (217) 255-9500
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125058121 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Preferred Emergency Physicians of Illinois, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1701 Curtis Rd
Champaign, IL 61822
Phone (217) 365-6201
311 W Fairchild St
Danville, IL 61832
Phone (217) 431-7600
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- achelinmd13910@carlehiedirect.net
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
Emergency Medicine, IL
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1235452996
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
-
- Emergency Medicine Physician
- Pekin, IL
- NPI 1912286576
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1982925756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6002",
"city": "URBANA",
"state": "IL",
"postal_code": "618036002",
"telephone_number": "217-326-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500",
"telephone_number": "217-383-3313",
"fax_number": "217-383-4014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELIN",
"first_name": "AMY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125058121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.