Individual provider Active NPI

Ian T Lyn, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • El Paso, TX
National Provider Identifier
1376529826
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
J8651 Issued in TX
Practice address
1600 Medical Center St Ste 212
El Paso, TX 79902-5008
Phone
(915) 532-3977
Fax
(915) 532-5866
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 30645 MS
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X J8651 TX Primary

Addresses

Primary practice location

1600 Medical Center St Ste 212
El Paso, TX 79902-5008

Mailing address

1600 Medical Center St Ste 212
El Paso, TX 79902-5008
Phone (915) 532-3977

Other practice location 1

707 E Marshall Ave
Longview, TX 75601-5545
Phone (903) 315-5400

Other practice location 2

100 Baptist Memorial Cir Ste 120
Oxford, MS 38655-4476
Phone (662) 636-2452

Other identifiers 1

IdentifierTypeStateIssuer
177598302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, MS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20051201000269 TX Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Other (Physician) 2466472741 Reassigns benefits to 1 organization
I20221017001143 AR Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 2466472741 Reassigns benefits to 1 organization
I20230622002299 MS Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 2466472741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, Vascular Surgery
Education
Baylor College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

Practice addresses (Care Compare)

100 Baptist Memorial Cir
Oxford, MS 38655-4476

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 636-1090

255 Baptist Blvd
Columbus, MS 39705-2006

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

  • Baptist Home Care and Hospice North Mississippi Home health agency, Batesville, MS, CCN 257114
  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)22
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 10, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 1, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Mother Frances Hospital Jacksonville Current Accepting new patients
Baptist Memorial Medical Group Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 10, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 1, 2022 Accepting new patients
THN Physicians Association Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc Past Accepting new patients

Locations

7303 Rogers Ave
Ste 302
Fort Smith, AR 72903
Phone (479) 452-1188

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

100 Baptist Memorial Cir
Ste 120
Oxford, MS 38655
Phone (662) 244-2288

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

707 E Marshall Ave
Longview, TX 75601
Phone (903) 315-4880

Interoperability endpoints

  • Direct secure messaging: ianlyn@epswcva.directglo.com

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 2

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1376529826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER ST STE 212",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-532-3977",
            "fax_number": "915-532-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER ST STE 212",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-532-3977",
            "fax_number": "915-532-5866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015545",
            "country_code": "US",
            "telephone_number": "903-315-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Baptist Memorial Cir Ste 120",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386554476",
            "country_code": "US",
            "telephone_number": "662-636-2452",
            "fax_number": "662-636-2285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYN",
        "first_name": "IAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MS",
            "license": "30645",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "J8651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177598302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.