Individual provider Active NPI

Brian Lin, DO

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1174051940
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OT017980 Issued in PA
Practice address
230 N Broad St
Philadelphia, PA 19102-1121
Phone
(215) 762-7000
NPI assigned
May 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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 OT017980 PA Primary

Addresses

Primary practice location

230 N Broad St
Philadelphia, PA 19102-1121

Mailing address

1600 Arch St Apt 820
Philadelphia, PA 19103-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NH, NJ, IL, NY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20201116001787 PA Practitioner - Internal MedicinePractitioner - Hospitalist 6608295399 Reassigns benefits to 1 organization
I20201215002865 NH Practitioner - Internal Medicine 6608295399 Reassigns benefits to 2 organizations
I20210414002696 NJ Practitioner - Internal Medicine 6608295399 Reassigns benefits to 1 organization
I20211208000364 IL Practitioner - Internal Medicine 6608295399 Reassigns benefits to 2 organizations
I20220707001988 NY Practitioner - HospitalistPractitioner - Internal Medicine 6608295399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

1111 Marcus Ave
New Hyde Park, NY 11042-1034

27005 75TH Ave
New Hyde Park, NY 11040-1402

27005 76TH Ave GF
New Hyde Park, NY 11040-1402
Phone (718) 470-7501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT017980PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Aug 18, 2022 Accepting new patients
NJ Acute Care Specialists Professional Corporation Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Cook County Internal Medicine CurrentSince Aug 18, 2022 Accepting new patients
Hospitalist Physicians of Illinois, P.C. Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Apr 3, 2025 Accepting new patients
Maine Medical Services LLC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Hospitalist Physicians of New Hampshire PC Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Pennsylvania HM Associates PC CurrentSince Mar 1, 2022 Accepting new patients
Cook County Current Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Prospect CCMC, LLC Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

Networks

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

Organizations & group practices 11

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1174051940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ARCH ST APT 820",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT017980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.