Individual provider Active NPI

Mark T Lin, MD

  • Gastroenterology Physician
  • Tucson, AZ
National Provider Identifier
1366594749
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
42987 Issued in AZ
Practice address
1396 N Wilmot Rd
Tucson, AZ 85712-5132
Phone
(520) 420-2250
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2008024820 MO
Gastroenterology Physician 207RG0100X 42987 AZ Primary

Addresses

Primary practice location

1396 N Wilmot Rd
Tucson, AZ 85712-5132

Mailing address

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-2684

Other practice location 1

1521 E Tangerine Rd Ste 123
Oro Valley, AZ 85755-6214
Phone (520) 901-6336

Other identifiers 1

IdentifierTypeStateIssuer
511460MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mark.lin.1@1576.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100802000995 AZ Practitioner - Gastroenterology 0042317745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rush Medical College of Rush University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians
TmconeGroup PAC ID 9234604877, 60 clinicians

Practice addresses (Care Compare)

1396 N Wilmot Rd
Tucson, AZ 85712-5132
Phone (520) 420-2250

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-2308

603 N Wilmot Rd
Suite 151
Tucson, AZ 85711-2701
Phone (520) 420-2560

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy89
Upper gastrointestinal (GI) endoscopy for acid reflux77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42987AZMDGastroenterology Physician
2008024820MOMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Apr 18, 2025 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Aug 1, 2015 Accepting new patients
Northwest Allied Physicians LLC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients

Locations

1521 E Tangerine Rd
Ste 337
Oro Valley, AZ 85755
Phone (520) 825-0300

1521 E Tangerine Rd
Ste 123
Oro Valley, AZ 85755
Phone (520) 901-3559

1396 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 324-2160

6130 N La Cholla Blvd
Ste 200
Tucson, AZ 85741
Phone (520) 219-8342

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

4001 E Sunrise Dr
Ste 161
Tucson, AZ 85718
Phone (520) 232-5280

Interoperability endpoints

  • Direct secure messaging: mark.lin.1@1576.direct.athenahealth.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 3

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1366594749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122805",
            "telephone_number": "520-324-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125132",
            "telephone_number": "520-420-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 E Tangerine Rd Ste 123",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857556214",
            "country_code": "US",
            "telephone_number": "520-901-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "MARK",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2008024820",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "42987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511460",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.lin.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1521 E Tangerine Rd Ste 123",
            "city": "Oro Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857556214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.