Active NPI
Peter Owen Lyn, MD
- Internal Medicine Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME104656
- Practice address
- 1080 E Indiantown Rd Ste 206
Jupiter, FL 33477-5188 - Phone
- (561) 741-5566
- Fax
- (561) 295-5237
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | KY39237 | KY | |
| Hospitalist Physician | 208M00000X | ME 104656 | FL | |
| Internal Medicine Physician | 207R00000X | ME104656 | FL | Primary |
Addresses
Primary practice location
1080 E Indiantown Rd Ste 206
Jupiter, FL 33477-5188
Mailing address
1080 E Indiantown Rd Ste 206
Jupiter, FL 33477-5188
Phone (561) 741-5566
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000500922 | Other | KY | ANTHEM BCBS |
| 004060900 | Medicaid | FL | |
| 000000609095 | Other | KY | ANTHEM BCBS |
| 2703542 | Medicaid | OH | |
| 64111164 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Peter.Lyn@jmsllc.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2055 Military TRL
Suite 100
Jupiter, FL 33458-7830
Phone (561) 741-1705
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY39237 | KY | MD | Internal Medicine Physician |
| ME 104656 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PGL Medical Group, PA | Internal Medicine | Current | Accepting new patients |
| Jupiter Medical Center Physicians Group Inc | Internal Medicine | Current | Accepting new patients |
| Tenet Florida Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Our Lady of Bellefonte Hospital, Inc. | Past | Accepting new patients | |
| Radiology Services of Jupiter Medical Specialists, LLC | Past | Accepting new patients | |
| Benaim Eye LLC | Past | Accepting new patients | |
| Rockledge Hospitalist Services LLC | Past | Accepting new patients |
Locations
4998 10th Ave N
Greenacres, FL 33463
Phone (305) 965-4997
1000 E Indiantown Rd
Jupiter, FL 33477
Phone (561) 741-5566
2055 Military Trl
Ste 100
Jupiter, FL 33458
Phone (561) 263-4487
210 Jupiter Lakes Blvd
Ste 4202
Jupiter, FL 33458
Phone (561) 366-6777
136 Jupiter Lakes Blvd
Jupiter, FL 33458
Phone (561) 741-5591
1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695
2055 Military Trl
Ste 210
Jupiter, FL 33458
Phone (561) 748-9104
1004 S Old Dixie Hwy
Ste 201
Jupiter, FL 33458
Phone (561) 284-8383
5430 Military Trl
Ste 62
Jupiter, FL 33458
Phone (561) 263-4343
2055 Military Trl
Ste 307
Jupiter, FL 33458
Phone (561) 263-7449
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
2854 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-0953
3401 Pga Blvd
Ste 320
West Palm Bch, FL 33410
Phone (561) 626-3385
1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Networks
- Freedom Health HMO Network
Interoperability endpoints
- peter.lyn@jmsllc.eclinicaldirectplus.com
Organizations & group practices 11
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.
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
Internal Medicine
-
- Specialist
- Miami Gardens, FL
- NPI 1881055366
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
Internal Medicine
-
- Specialist
- Tampa, FL
- NPI 1700393881
-
dba JMC Community Care
- Pediatric Surgery Physician
- Jupiter, FL
- NPI 1093344376
-
- Internal Medicine Physician
- Jupiter, FL
- NPI 1518220565
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
-
- Ophthalmology Physician
- Jupiter, FL
- NPI 1144327131
-
- Radiation Oncology Physician
- Jupiter, FL
- NPI 1306257894
-
- Emergency Medicine Physician
- Rockledge, FL
- NPI 1699068908
-
dba Bellefonte Wound Care Center
- Nurse Practitioner
- Ashland, KY
- NPI 1457545543
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health of Jupiter Medical Center
- Home Health Agency
- Jupiter, FL
- NPI 1780635540
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1033219076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 E INDIANTOWN RD STE 206",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775188",
"telephone_number": "561-741-5566",
"fax_number": "561-295-5237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 E INDIANTOWN RD STE 206",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775188",
"telephone_number": "561-741-5566",
"fax_number": "561-295-5237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYN",
"first_name": "PETER",
"middle_name": "OWEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "KY39237",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME 104656",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME104656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000500922",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004060900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000609095",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2703542",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64111164",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Peter.Lyn@jmsllc.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1080 E Indiantown Rd Ste 206",
"city": "Jupiter",
"state": "FL",
"country_code": "US",
"postal_code": "334775188",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.