Individual provider Active NPI

Adam Tristan Chin, M.D.

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1992192884
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
278639 Issued in MA
Practice address
50 Staniford St Ste 600
Boston, MA 02114-2587
Phone
(617) 314-2715
NPI assigned
Apr 19, 2015
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Student in an Organized Health Care Education/Training Program 390200000X RS2019-0044 NM
Ophthalmology Physician 207W00000X 264284 MA
Ophthalmology Physician 207W00000X 278639 MA Primary

Addresses

Primary practice location

50 Staniford St Ste 600
Boston, MA 02114-2587

Mailing address

50 Staniford St Ste 600
Boston, MA 02114-2587
Phone (617) 314-2715

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Chin.Adam.OCB@direct.partners.masshiway.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190607001083 MA Practitioner - Ophthalmology 6709193873 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Massachusetts Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts Eye Associates PCGroup PAC ID 3476512625, 13 clinicians

Practice addresses (Care Compare)

33 Bartlett St
Suite 101
Lowell, MA 01852-1300
Phone (978) 256-5600

50 Staniford St
Suite 600
Boston, MA 02114-2539
Phone (617) 367-4800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278639MAMDOphthalmology Physician
RS2019-0044NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Ophthalmology Associates, Inc CurrentSince Jul 6, 2019 Accepting new patients
Pratt Ophthalmology Associates Inc Ophthalmology CurrentSince Jul 6, 2019 Accepting new patients
Massachusetts Eye Associates PC CurrentSince Aug 1, 2021 Accepting new patients
Ophthalmic Consultants of Boston, Inc. Ophthalmology CurrentSince Jul 5, 2019 Accepting new patients
Ophthalmic Consultants of Boston, Inc. Ophthalmology Current Accepting new patients
Ophthalmic Consultants of Boston, Inc Ophthalmology CurrentSince Jul 5, 2019 Accepting new patients
Massachusetts Eye Associates PC Ophthalmology CurrentSince Aug 1, 2021 Accepting new patients
Ophthalmic Consultants of Boston, Inc. Ophthalmology Current Accepting new patients
The General Hospital Corporation Past Accepting new patients

Locations

50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#450
Boston, MA 02111
Phone (617) 636-4600

625 Mount Auburn St
Ste 100
Cambridge, MA 02138
Phone (617) 354-3130

19 Village Sq
Chelmsford, MA 01824
Phone (978) 256-5600

104 Endicott St
Ste 303
Danvers, MA 01923
Phone (978) 524-0050

33 Bartlett St
Ste 101
Lowell, MA 01852
Phone (978) 256-5600

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

282 Route 130
Sandwich, MA 02563
Phone (508) 427-3720

Interoperability endpoints

  • Direct secure messaging: achin29935@tuftsmedicine.direct-ci.com
  • Direct secure messaging: chin.adam.ocb@direct.partners.masshiway.net

Organizations & group practices 9

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.

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": "1429401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1992192884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST STE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142587",
            "telephone_number": "617-314-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST STE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142587",
            "telephone_number": "617-314-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ADAM",
        "middle_name": "TRISTAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-19",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2019-0044",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "264284",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "278639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chin.Adam.OCB@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "50 Staniford St Ste 600",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021142587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.