Active NPI
Michael D. Linden, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Winston Salem, NC
National Provider Identifier
1386792091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 2018-01123
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-1672 - Phone
- (336) 716-2255
- NPI assigned
- Jan 8, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G88743 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301057165 | MI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2018-01123 | NC | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-1672
Mailing address
14370 Via Venezia
1201
San Diego, CA 92129-1661
Phone (734) 389-5496
Other practice location 1
19951 Mariner Ave
Ste 155,Affiliated Pathologists Medical Group
Torrance, CA 90503-1672
Phone (310) 225-3221
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ML057165 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| ML057165 | Other | CHAMPUS-CHAMPUS | |
| 269035010 | Medicaid | MI | |
| G88743 | Other | CA | MEDICAL BOARD OF CA |
| 700H262270 | Other | BLUE CROSS-BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181108000899 | NC | Practitioner - Pathology | 5890831317 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301057165 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego Pathologists Medical Group Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| San Diego Pathologists Medical Group Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
- NPI 1174836894
-
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
- NPI 1982619466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1386792091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14370 VIA VENEZIA",
"address_2": "1201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921291661",
"telephone_number": "734-389-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271571672",
"telephone_number": "336-716-2255"
}
],
"practiceLocations": [
{
"address_1": "19951 Mariner Ave",
"address_2": "Ste 155,Affiliated Pathologists Medical Group",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905031672",
"country_code": "US",
"telephone_number": "310-225-3221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDEN",
"first_name": "MICHAEL",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G88743",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301057165",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "2018-01123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "ML057165",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "ML057165",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269035010",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CA",
"identifier": "G88743",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262270",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.