Individual provider Active NPI

Ken Yu Lin, MD, PHD

  • Gynecologic Oncology Physician
  • Bronx, NY
National Provider Identifier
1063683936
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
293320 Issued in NY
Practice address
1695 Eastchester Rd Ste 601
Bronx, NY 10461
Phone
(718) 405-8082
Fax
(718) 405-8087
NPI assigned
Mar 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 293320 NY Primary

Addresses

Primary practice location

1695 Eastchester Rd Ste 601
Bronx, NY 10461

Mailing address

1695 Eastchester Rd Ste 601
Bronx, NY 10461-2376
Phone (718) 405-8082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110818000825 TX Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 7012187537 Reassigns benefits to 1 organization
I20180705000153 NY Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 7012187537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Northwestern University Feinberg Medical School, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jun 15, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 11, 2017 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 11, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jun 15, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1695 Eastchester Rd
Ste 601
Bronx, NY 10461
Phone (718) 405-8082

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

1695 Eastchester Rd
Bronx, NY 10461
Phone (718) 405-8020

855 State Route 17M
Monroe, NY 10950
Phone (845) 615-6999

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: klin846421@nychhc.direct-ci.com
  • Direct secure messaging: kelin@montefioredirect.com

Organizations & group practices 6

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1063683936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 EASTCHESTER RD STE 601",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612376",
            "telephone_number": "718-405-8082",
            "fax_number": "718-405-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 EASTCHESTER RD STE 601",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-405-8082",
            "fax_number": "718-405-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "KEN",
        "middle_name": "YU",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "293320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.