NPIMap

Organization Active NPI

Lin Health Medical Group PA

  • Pain Medicine Physician
  • Denver, CO
National Provider Identifier
1013643436
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
LIN HEALTH MEDICAL GROUP PA
Practice address
3513 Brighton Blvd Ste 457
Denver, CO 80216-3810
Phone
(720) 740-2520
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Jessie Dalton
Title
Director, Operations
Phone
(720) 740-2520

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

3513 Brighton Blvd Ste 457
Denver, CO 80216-3810

Mailing address

3513 Brighton Blvd Ste 457
Denver, CO 80216-3810
Phone (720) 740-2520

Other practice location 1

400 E Royal Ln Ste 290
Irving, TX 75039-3602
Phone (972) 945-0378

Other practice location 2

254 Commercial St Ste 245
Portland, ME 04101-4899
Phone (207) 716-5309

Other practice location 3

2375 E Camelback Rd Ste 600
Phoenix, AZ 85016-3493
Phone (188) 869-1581

Other practice location 4

1 Alhambra Plz Ste Ph
Coral Gables, FL 33134-5227
Phone (786) 789-2479

Other names 1

  • Lin Health Medical Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, AL, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20230509000747 TX Part B Supplier - Clinic/Group Practice 1557726932 Receives reassigned benefits from 2 practitioners
Practice locations: Irving, TX
O20230526001097 CO Part B Supplier - Clinic/Group Practice 1557726932 Receives reassigned benefits from 7 practitioners
Practice locations: Boulder, CO; Denver, CO; Grand Junction, CO
O20250627000541 AL Part B Supplier - Clinic/Group Practice 1557726932 Receives reassigned benefits from 1 practitioner
Practice locations: Daphne, AL
O20250730001924 CA Part B Supplier - Clinic/Group Practice 1557726932 Receives reassigned benefits from 2 practitioners
Practice locations: Livermore, CA; Tustin, CA

National Provider Directory

National Provider Directory

Locations

3513 Brighton Blvd
Denver, CO 80216

1 Alhambra Plz
Coral Gables, FL 33134
Phone (786) 507-4440

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1013643436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 BRIGHTON BLVD STE 457",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163810",
            "telephone_number": "720-740-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 BRIGHTON BLVD STE 457",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163810",
            "telephone_number": "720-740-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Royal Ln Ste 290",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750393602",
            "country_code": "US",
            "telephone_number": "972-945-0378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "254 Commercial St Ste 245",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041014899",
            "country_code": "US",
            "telephone_number": "207-716-5309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2375 E Camelback Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163493",
            "country_code": "US",
            "telephone_number": "188-869-1581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Alhambra Plz Ste Ph",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331345227",
            "country_code": "US",
            "telephone_number": "786-789-2479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIN HEALTH MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "DIRECTOR, OPERATIONS",
        "authorized_official_telephone_number": "720-740-2520"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lin Health Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.