Active NPI
Johnny L. Lin, M.D.
- Orthopaedic Foot and Ankle Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 036115264
- Practice address
- 1611 W Harrison St # 400
Chicago, IL 60612-4861 - Phone
- (312) 243-4244
- Fax
- (312) 942-1517
- NPI assigned
- May 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 036115264 | IL | Primary |
Addresses
Primary practice location
1611 W Harrison St # 400
Chicago, IL 60612-4861
Mailing address
1 Westbrook Corporate Ctr
#240
Westchester, IL 60154-5701
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036115264 1 | Medicaid | IL | |
| 207067 | Other | IL | MEDICARE PTAN NUMBER LOCALITY #16 |
| DA4902 | Other | IL | RR MEDICARE PTAN NUMBER |
| 7686873 | Other | IL | AETNA |
| 207073 | Other | IL | MEDICARE PTAN NUMBER LOCALITY #15 |
| P00381332 | Other | IL | RR MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rci (WRS) LLC
Practice addresses (Care Compare)
1300 Lincolnway
Valparaiso, IN 46383-5824
1611 W Harrison St
Suite 400
Chicago, IL 60612-4861
Phone (877) 632-6637
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036115264 | IL | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush, LLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush LLC | Current | Accepting new patients | |
| CC Bpci PLC | Past | Accepting new patients | |
| Campbell Clinic, PC | Foot and Ankle Surgery | Past | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244
1725 W Harrison St
Ste 1063
Chicago, IL 60612
Phone (312) 243-4244
963 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 725-8425
55 Shuman Blvd
Ste 700
Naperville, IL 60563
Phone (630) 339-2225
324 Roxbury Rd
Rockford, IL 61107
Phone (815) 381-7339
1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Interoperability endpoints
- johnny.lin.1@12576.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Rockford, IL
- NPI 1730136474
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1811942451
-
- Durable Medical Equipment & Medical Supplies
- Orland Park, IL
- NPI 1134871908
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
-
- Durable Medical Equipment & Medical Supplies
- McHenry, IL
- NPI 1346866373
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1003835141
Foot and Ankle Surgery
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1881387330
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1447206677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WESTBROOK CORPORATE CTR",
"address_2": "#240",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST # 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "312-243-4244",
"fax_number": "312-942-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "JOHNNY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "IL",
"license": "036115264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036115264 1",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN NUMBER LOCALITY #16",
"identifier": "207067",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN NUMBER",
"identifier": "DA4902",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7686873",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN NUMBER LOCALITY #15",
"identifier": "207073",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROVIDER NUMBER",
"identifier": "P00381332",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.