Individual provider Active NPI

Chun M Lin, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Addison, TX
National Provider Identifier
1083664528
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M8793 Issued in TX
Practice address
17051 Dallas Pkwy Ste 400
Suite 400
Addison, TX 75001-7101
Phone
(214) 370-3535
Fax
(214) 370-0004
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A94280 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X M8793 TX
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A94280 CA
Pain Medicine Physician 208VP0000X M8793 TX
Physical Medicine & Rehabilitation Physician 208100000X M8793 TX Primary

Addresses

Primary practice location

17051 Dallas Pkwy Ste 400
Suite 400
Addison, TX 75001-7101

Mailing address

5680 Frisco Square Blvd Ste 1200
Frisco, TX 75034-3323
Phone (214) 618-3960

Other identifiers 3

IdentifierTypeStateIssuer
8BW307OtherTXBCBS PIN
O00749090OtherTXRAIL ROAD MEDICARE PIN
209274401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080730000048 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Orthopedic SurgeryPractitioner - Pain Management 7315011053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Northwestern University Feinberg Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arlington Neurosurgeons, PLLCGroup PAC ID 8022333582, 46 clinicians

Practice addresses (Care Compare)

3316 Colorado Blvd
Denton, TX 76210-6864
Phone (940) 349-5500

4510 Medical Ctr Dr
Suite 301
McKinney, TX 75069-1603
Phone (972) 498-4389

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94280CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
M8793TXMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Neurosurgeons, PLLC CurrentSince Jan 4, 2021 Accepting new patients
Elements Anesthesia, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

17980 Dallas Pkwy
Ste 100
Dallas, TX 75287
Phone (817) 556-8387

3537 S Interstate 35 E
Ste 308
Denton, TX 76210
Phone (940) 382-2204

4370 Medical Arts Dr
Ste 230
Flower Mound, TX 75028
Phone (972) 956-8181

5680 Frisco Square Blvd
Ste 1200
Frisco, TX 75034
Phone (214) 618-3960

5575 Frisco Square Blvd
Ste 400
Frisco, TX 75034
Phone (214) 618-3960

6020 W Parker Rd
Ste 300
Plano, TX 75093
Phone (469) 200-6461

Interoperability endpoints

  • Direct secure messaging: clin@direct.uspi.com

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 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1083664528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 FRISCO SQUARE BLVD STE 1200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343323",
            "telephone_number": "214-618-3960",
            "fax_number": "214-618-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 400",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017101",
            "telephone_number": "214-370-3535",
            "fax_number": "214-370-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHUN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A94280",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "M8793",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A94280",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "M8793",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M8793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "8BW307",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE PIN",
            "identifier": "O00749090",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209274401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.