Individual provider Active NPI

Chien-Jung Lin, M.D., PH.D.

  • Interventional Cardiology Physician
  • Alton, IL
National Provider Identifier
1346654308
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036164062 Issued in IL
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

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220315001326 MO Practitioner - Interventional Cardiology 6507084449 Reassigns benefits to 1 organization
I20231129003750 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6507084449 Reassigns benefits to 2 organizations

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
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting35
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017028726MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System CurrentSince Dec 12, 2023 Accepting new patients
SSM Health Care Group Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Osf Healthcare System CurrentSince Dec 12, 2023 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.