KENNETH W CHIN (MD) – Vascular & Interventional Radiology Physician, NPI 1902888704

Vascular & Interventional Radiology Physician

KENNETH W CHIN (MD) is a healthcare provider. based in Los angeles, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. G29660 (CA). The NPI Number for KENNETH W CHIN (MD) is 1902888704

Main info

Male

Sole Proprietor

52 Years Of Experience

Accepts Medicare Assignment

Name

KENNETH W CHIN (MD)

NPI

1902888704

Phone

(310) 301-6800

Address

10833 LE CONTE AVE

Enumeration Date

17 November 2005

Last Update Date

17 November 2023

Doctor Profile

Medical School Name

HARVARD MEDICAL SCHOOL

Secondary Phone

7603603193

Graduation Year

1974 (52 years ago)

PAC ID

2264336171

Group Practice PAC ID

6406749613

Professional Enrollment ID

I20051103001222

Address ID

CA922010000IN41XXXJFKX401

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience69

Completeness75

Years active:20State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for KENNETH W CHIN (MD)

UCLA School of Dentistry, 10833, Le Conte Avenue, Westwood Village, Westwood, Los Angeles, Los Angeles County, California, 90095, United States
LOS ANGELES, CA 900953075
Phone: (310) 301-6800
Type: Location
5767, West Century Boulevard, Westchester, Los Angeles, Los Angeles County, California, 90045, United States
LOS ANGELES, CA 900455655
Phone: (310) 301-6800
Type: Mailing
18133 VENTURA BLVD STE 100
TARZANA, CA 913563641
Phone: (818) 933-2020
Fax: (818) 817-7668
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2023-06-10 • Largest payer in this snapshot: Dexcom, Inc. ($120).

Total Amount

$120

General + Research + Ownership

Payments

Total payment records

General Amount

$120

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2023-06-10

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Dexcom, Inc.	$120

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20051103001222	I	Diagnostic Radiology	CA	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	16,906	210	$0
A9575	Injection, gadoterate meglumine, 0.1 ml	5,749	35	$0
77067	Screening mammography	251	251	$0
77063	Screening 3d breast mammography	239	239	$0
71046	X-ray of chest, 2 views	233	233	$0

View full utilization report →

Insurance plans in this area (ZIP 90095)

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Provider's Procedures

KENNETH W CHIN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
DIAGNOSTIC RADIOLOGY	CA	76942	Ultrasonic guidance imaging supervision and interpretation for insertion of needle	36	36

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6406749613View full group profile

Name	Specialty	State
SON HA YU (MD)	Vascular Surgery, Cardiovascular Disease (Cardiology)	CA
DR. ANDREW THOMAS COLUCCI (M.D.)	Diagnostic Radiology	CT
DR. SEYED H SHAHROKNI (M.D.)	Diagnostic Radiology	CA
DR. ANDREW III BENNETT (M.D.)	Diagnostic Radiology	OH
DR. ALI ESMAILI (MD)	Diagnostic Radiology	CA
SOPHIA SYMKO (MD)	Diagnostic Radiology	CO
JEFFREY A DOBKIN (MD)	-	CA
ROBERT M KRASNY (MD)	Diagnostic Radiology	CA
DR. DALIA ARTAL (M.D.)	Diagnostic Radiology	CA
NGHI LU (M.D.)	Diagnostic Radiology	CA

Reviews

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Frequently asked questions

Can I verify KENNETH W CHIN (MD) with an NPI only?

You can start verification with NPI 1902888704 for KENNETH W CHIN (MD), then check state licensing separately.

Can I rely on KENNETH W CHIN (MD) being an active provider?

As of the registry snapshot, KENNETH W CHIN (MD) is marked active.

What is KENNETH W CHIN (MD)'s specialty?

The listing groups KENNETH W CHIN (MD) with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.

Where should I expect KENNETH W CHIN (MD) on a map?

Expect Los Angeles, California as a primary anchor for KENNETH W CHIN (MD) unless the record lists multiple sites.

Is the information about KENNETH W CHIN (MD) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."