Individual provider Active NPI

Kenneth Wensen Lin, M.D.

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1497767248
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD034806 Issued in DC
Practice address
4910 Massachusetts Ave NW
Suite 115
Washington, DC 20016-4300
Phone
(877) 677-3627
Fax
(202) 237-0076
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD034806 DC Primary
Family Medicine Physician 207Q00000X D0061159 MD

Addresses

Primary practice location

4910 Massachusetts Ave NW
Suite 115
Washington, DC 20016-4300

Mailing address

PO Box 417346
Boston, MA 02241-7346
Phone (703) 558-1456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040211000128 PA Practitioner - Family Practice 6901790997 Reassigns benefits to 1 organization
I20201008001434 UT Practitioner - Family Practice 6901790997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

540 N Duke St 3Rd Floor
Penn Med Lanc Gen H. Phys Fam Med Downtown
Lancaster, PA 17602-2374
Phone (717) 544-4950

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Community Physicians Group CurrentSince Sep 2, 2020 Accepting new patients
University of Utah Community Physicians Group Family Medicine CurrentSince Sep 2, 2020 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Hospital CurrentSince Jun 1, 2022 Accepting new patients
University of Utah Community Physicians Group Family Medicine Current Accepting new patients
Lancaster General Hospital CurrentSince Jun 1, 2022 Accepting new patients
Lancaster General Hospital Past Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

694 Good Dr
Ste 11
Lancaster, PA 17601
Phone (717) 544-0040

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

Interoperability endpoints

  • Direct secure messaging: klin224324@direct-lghealth.org

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 3

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1497767248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417346",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417346",
            "telephone_number": "703-558-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW",
            "address_2": "SUITE 115",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164300",
            "telephone_number": "877-677-3627",
            "fax_number": "202-237-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "KENNETH",
        "middle_name": "WENSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD034806",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0061159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.