Individual provider Active NPI

John C Lin, MD

  • Urology Physician
  • Gilbert, AZ
National Provider Identifier
1467494435
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
31442 Issued in AZ
Practice address
3303 S Lindsay Rd
Ste 121
Gilbert, AZ 85297-1503
Phone
(480) 507-9600
Fax
(480) 507-9610
NPI assigned
Jun 12, 2006
Last updated
Nov 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 31442 AZ Primary

Addresses

Primary practice location

3303 S Lindsay Rd
Ste 121
Gilbert, AZ 85297-1503

Mailing address

PO Box 2464
Gilbert, AZ 85299-2464
Phone (480) 507-9600

Other identifiers 1

IdentifierTypeStateIssuer
778582MedicaidAZ

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
I20060808000507 AZ Practitioner - Urology 9739182957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Saint Louis University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3303 S Lindsay Rd
Suite 121
Gilbert, AZ 85297-2100
Phone (480) 507-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.78 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Urology PC Urology CurrentSince Sep 1, 2006 Accepting new patients
Western Urological Associates, PC Past Accepting new patients

Locations

3303 S Lindsay Rd
Ste 121
Gilbert, AZ 85297
Phone (480) 507-9600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1467494435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2464",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852992464",
            "telephone_number": "480-507-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S LINDSAY RD",
            "address_2": "STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971503",
            "telephone_number": "480-507-9600",
            "fax_number": "480-507-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "31442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "778582",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.