Individual provider Active NPI

David Lin, DPM

  • Podiatrist
  • La Plata, MD
National Provider Identifier
1497066377
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01568 Issued in MD
Practice address
16 N la Plata CT
La Plata, MD 20646-4283
Phone
(301) 392-3330
Fax
(301) 392-3950
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006207 PA
Podiatrist 213E00000X 01568 MD Primary

Addresses

Primary practice location

16 N la Plata CT
La Plata, MD 20646-4283

Mailing address

PO Box 2188
La Plata, MD 20646-2188
Phone (301) 392-3330

Other identifiers 1

IdentifierTypeStateIssuer
423429400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141218001166 DC Practitioner - Podiatry 5799929782 Reassigns benefits to 2 organizations
I20170213002164 MD Practitioner - Podiatry 5799929782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Orthopedics and Sports MedicineGroup PAC ID 2860658192, 41 clinicians

Practice addresses (Care Compare)

12090 Old Line Ctr
Suite R10A
Waldorf, MD 20602-2556
Phone (301) 498-0333

221 American Way
Oxon Hill, MD 20745-1597
Phone (301) 498-0383

Hospital & facility affiliations

  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006207PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shady Grove Podiatry, LLC CurrentSince Jan 1, 2015 Accepting new patients
Precision Orthopedics and Sports Medicine Current Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince May 1, 2019 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Apr 20, 2019 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Apr 20, 2019 Accepting new patients
Up Orthopedics LLC Past Accepting new patients

Locations

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

16220 Frederick Rd
Ste 427
Gaithersburg, MD 20877
Phone (301) 670-9797

5 N La Plata Ct
Ste 203
La Plata, MD 20646
Phone (240) 307-4700

16 N La Plata Ct
La Plata, MD 20646
Phone (301) 392-3330

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

221 American Way
Oxon Hill, MD 20745
Phone (301) 567-9100

220 Solomons Island Rd N
Prnc Frederck, MD 20678
Phone (410) 535-4884

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

12090 Old Line Ctr
#R10A
Waldorf, MD 20602
Phone (301) 498-0333

Interoperability endpoints

  • Direct secure messaging: dlin548042@direct.umm.edu

Organizations & group practices 6

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 1

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1497066377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2188",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206462188",
            "telephone_number": "301-392-3330",
            "fax_number": "301-392-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N LA PLATA CT",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464283",
            "telephone_number": "301-392-3330",
            "fax_number": "301-392-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006207",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423429400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.