Individual provider Active NPI

Peter Owen Lyn, MD

  • Internal Medicine Physician
  • Jupiter, FL
National Provider Identifier
1033219076
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME104656 Issued in FL
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

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000500922OtherKYANTHEM BCBS
004060900MedicaidFL
000000609095OtherKYANTHEM BCBS
2703542MedicaidOH
64111164MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000260 FL Practitioner - Internal MedicinePractitioner - Hospitalist 2860416609 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
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

LicenseStateTypeSpecialty
KY39237KYMDInternal Medicine Physician
ME 104656FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PGL Medical Group, PA Internal Medicine CurrentSince Apr 1, 2011 Accepting new patients
Jupiter Medical Center Physicians Group Inc Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Tenet Florida Physician Services LLC Internal Medicine CurrentSince Nov 1, 2013 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Nov 1, 2013 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Feb 1, 2023 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Feb 1, 2023 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 PastSince Jul 2, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.