Individual provider Active NPI

Lin Liu

  • Internal Medicine Physician
  • Havertown, PA
National Provider Identifier
1063809473
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD465017 Issued in PA
Practice address
2010 W Chester Pike Ste 448
Havertown, PA 19083
Phone
(610) 853-2502
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD465017 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2010 W Chester Pike Ste 448
Havertown, PA 19083

Mailing address

2010 W Chester Pike Ste 448
Havertown, PA 19083-2741

Other practice location 1

6787 Market St Ste 101
Upper Darby, PA 19082-1848
Phone (610) 352-8000

Other practice location 2

12 N 7th Ave
Mount Vernon, NY 10550-2026
Phone (914) 361-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180926002874 PA Practitioner - Internal MedicinePractitioner - Medical Oncology 1850642083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Medical Oncology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Everest Medical Care LLCGroup PAC ID 1658382908, 7 clinicians
Rehabclinics SPT IncGroup PAC ID 7113834102, shared by 20 NPIs, 101 clinicians

Practice addresses (Care Compare)

2010 W Chester Pike
Suite 448
Havertown, PA 19083-2741
Phone (610) 853-2502

4275 County Line Rd
Suite 26
Chalfont, PA 18914-2212
Phone (267) 952-8120

Hospital & facility affiliations

  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Everest Medical Care LLC CurrentSince Sep 1, 2018 Accepting new patients
Everest Urgent Care PastSince Aug 20, 2022 Accepting new patients

Locations

2600 W 9th St
Unit E2
Chester, PA 19013
Phone (484) 480-4700

2010 W Chester Pike
Ste 448
Havertown, PA 19083
Phone (610) 853-2502

649 Foulkrod St
Unit 302
Philadelphia, PA 19120
Phone (267) 682-5600

6787 Market St
Ste 107
Upper Darby, PA 19082
Phone (610) 352-8000

480 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 673-0070

Interoperability endpoints

  • Direct secure messaging: linliu@emcl-pa.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 6

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1063809473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE STE 448",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE STE 448",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-853-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6787 Market St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Upper Darby",
            "state": "PA",
            "postal_code": "190821848",
            "country_code": "US",
            "telephone_number": "610-352-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 N 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "105502026",
            "country_code": "US",
            "telephone_number": "914-361-6442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "LIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD465017",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.