Active NPI
Chien-Jung Lin, M.D., PH.D.
- Interventional Cardiology Physician
- Alton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036164062
- Practice address
- 2 Saint Anthonys Way Ste 305
Alton, IL 62002-4569 - Phone
- (618) 474-6277
- Fax
- (618) 474-6792
- NPI assigned
- Jun 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 036164062 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 2014014716 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | 2017028726 | MO | |
| Interventional Cardiology Physician | 207RI0011X | 2017028726 | MO |
Addresses
Primary practice location
2 Saint Anthonys Way Ste 305
Alton, IL 62002-4569
Mailing address
2 Saint Anthonys Way Ste 305
Alton, IL 62002-4569
Phone (618) 474-6277
Other practice location 1
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117-1211
Phone (314) 977-4663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647
1034 S Brentwood Blvd
Suite 1120
Saint Louis, MO 63117-1211
Phone (314) 977-4663
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
1225 S Grand Blvd
Saint Louis, MO 63104-1016
2 Saint Anthonys Way
Suite 305
Alton, IL 62002-4569
Phone (618) 465-9024
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8208
Hospital & facility affiliations
- SSM Health Saint Louis University Hospital
- Osf Saint Anthony'S Health Center
- Good Samaritan Regional HLTH Center
- SSM Health St Mary'S Hospital - St Louis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 35 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017028726 | MO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current | Accepting new patients | |
| SSM Health Care Group | Internal Medicine | Current | Accepting new patients |
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| SSM-Sluh Inc | Past | Accepting new patients | |
| SSM Medical Group Inc. | Past | Accepting new patients | |
| Osf Healthcare System | Past | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
2 Saint Anthonys Way
Ste 305
Alton, IL 62002
Phone (618) 462-2222
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1034 S Brentwood Blvd
Ste 1120
Saint Louis, MO 63117
Phone (314) 977-4600
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Surgery Physician
- Alton, IL
- NPI 1437551322
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Rural Health Clinic/Center
- Monmouth, IL
- NPI 1679606073
-
- Durable Medical Equipment & Medical Supplies
- Fenton, MO
- NPI 1124579966
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- General Acute Care Hospital
- Alton, IL
- NPI 1710396932
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1346654308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SAINT ANTHONYS WAY STE 305",
"city": "ALTON",
"state": "IL",
"postal_code": "620024569",
"telephone_number": "618-474-6277",
"fax_number": "618-474-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SAINT ANTHONYS WAY STE 305",
"city": "ALTON",
"state": "IL",
"postal_code": "620024569",
"telephone_number": "618-474-6277",
"fax_number": "618-474-6792"
}
],
"practiceLocations": [
{
"address_1": "1034 S Brentwood Blvd Ste 1120",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631171211",
"country_code": "US",
"telephone_number": "314-977-4663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIN",
"first_name": "CHIEN-JUNG",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-18",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036164062",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2014014716",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2017028726",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MO",
"license": "2017028726",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.