Individual provider Active NPI

Kevin Naingthu Lin, M.D

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1104953777
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200042 Issued in NY
Practice address
198 Canal St Ste 401
New York, NY 10013-4531
Phone
(212) 791-3886
Fax
(212) 791-3887
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200042 NY Primary

Addresses

Primary practice location

198 Canal St Ste 401
New York, NY 10013-4531

Mailing address

16 Hillcrest Dr
Great Neck, NY 11021-1722
Phone (516) 773-7787

Other identifiers 1

IdentifierTypeStateIssuer
01585597MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050125000841 NY Practitioner - Internal Medicine 6608826961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kevin N T Lin MD PCGroup PAC ID 4183772973, 2 clinicians

Practice addresses (Care Compare)

198 Canal St
Suite 401
New York, NY 10013-4531
Phone (212) 791-3886

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin N T Lin, MD., P.C. Internal Medicine CurrentSince May 5, 2009 Accepting new patients
Central Brooklyn Medical Group PC Internal Medicine Past Accepting new patients

Locations

198 Canal St
#401
New York, NY 10013
Phone (212) 291-3886

198 Canal St
Ste 401
New York, NY 10013
Phone (212) 791-3886

Networks

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

Interoperability endpoints

  • Direct secure messaging: kevinlin@1548.mdlanddirect.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1104953777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HILLCREST DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211722",
            "telephone_number": "516-773-7787",
            "fax_number": "516-773-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CANAL ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134531",
            "telephone_number": "212-791-3886",
            "fax_number": "212-791-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "KEVIN",
        "middle_name": "NAINGTHU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01585597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.