Individual provider Active NPI

Jeffrey C Lin, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Burleson, TX
National Provider Identifier
1124082938
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
L0380 Issued in TX
Practice address
11803 South Fwy Ste 310
Burleson, TX 76028-7036
Phone
(817) 293-5547
Fax
(817) 293-8551
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X L0380 TX Primary

Addresses

Primary practice location

11803 South Fwy Ste 310
Burleson, TX 76028-7036

Mailing address

PO Box 6278
Fort Worth, TX 76115-0278
Phone (817) 568-5467

Other names 1

  • Dr. Jeffrey C Lin Other name

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
I20100729000672 TX Practitioner - Thoracic Surgery 0749376986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Baylor College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huguley Medical Associates, IncGroup PAC ID 2668562471, 50 clinicians

Practice addresses (Care Compare)

11803 S Fwy
Suite 310
Burleson, TX 76028-7036
Phone (817) 293-5547

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Harris Methodist Hospital Azle Hospital, Azle, TX, CCN 450419

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0380TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Cardio Thoracic and Vascular Surgery, P.a. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 4, 2000 Accepting new patients
Decatur Hospital Authority Current Accepting new patients
Wise Clinical Care Associates CurrentSince Nov 1, 2017 Accepting new patients
Huguley Medical Associates CurrentSince Nov 1, 2024 Accepting new patients

Locations

133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151

11803 South Fwy
Ste 310
Burleson, TX 76028
Phone (817) 293-5547

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

11797 South Fwy
Ste 242
Burleson, TX 76028
Phone (817) 568-1981

609 Medical Center Dr
Ste 2500
Decatur, TX 76234
Phone (214) 337-6362

2014 Ben Merritt Dr
Ste B
Decatur, TX 76234
Phone (940) 626-2962

909 9th Ave
Ste 210
Fort Worth, TX 76104
Phone (817) 335-1131

Interoperability endpoints

  • Direct secure messaging: jeffreylin@wise.allscriptsdirect.net
  • Direct secure messaging: jlin821261@adventhealth.direct-ci.com

Organizations & group practices 4

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 4

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1124082938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6278",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761150278",
            "telephone_number": "817-568-5467",
            "fax_number": "817-568-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FWY STE 310",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287036",
            "telephone_number": "817-293-5547",
            "fax_number": "817-293-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "L0380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "LIN",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.