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Individual provider Active NPI

Ellen W Lin, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Antonio, TX
National Provider Identifier
1548273501
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
M0151 Issued in TX
Practice address
21 Spurs Lane
Suite 240
San Antonio, TX 78240-1669
Phone
(210) 690-0777
Fax
(210) 690-0779
NPI assigned
Aug 14, 2006
Last updated
May 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X M0151 TX Primary

Addresses

Primary practice location

21 Spurs Lane
Suite 240
San Antonio, TX 78240-1669

Mailing address

21 Spurs Lane
Suite 240
San Antonio, TX 78240-1669
Phone (210) 690-0777

Other names 1

  • Wan-Tin Lin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000092 TX Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0143236729 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
University of Texas Medical School at San Antonio, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ellen W Lin MD PAGroup PAC ID 2961589916, 7 clinicians

Practice addresses (Care Compare)

21 Spurs LN
Suite 240
San Antonio, TX 78240-1671
Phone (210) 690-0777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.78 of 100Reported as individual
Quality
80.13
Promoting interoperability
100
Improvement activities
40
Cost
45.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen W Lin MD PA Pain Medicine CurrentSince Mar 1, 2008 Accepting new patients
MJF Rehabilitation PA Pain Medicine PastSince Mar 1, 2008 Accepting new patients

Locations

10323 State Highway 151
Ste 1077
San Antonio, TX 78251
Phone (210) 690-0777

21 Spurs Ln
Ste 240
San Antonio, TX 78240
Phone (210) 690-0777

255 E Sonterra Blvd
Ste 203
San Antonio, TX 78258
Phone (210) 499-5158

255 E Sonterra Blvd
Ste 216
San Antonio, TX 78258
Phone (210) 690-0777

Interoperability endpoints

  • Direct secure messaging: ellen.lin.1@9126.direct.athenahealth.com

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 6

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1548273501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LANE",
            "address_2": "SUITE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669",
            "telephone_number": "210-690-0777",
            "fax_number": "210-690-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LANE",
            "address_2": "SUITE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669",
            "telephone_number": "210-690-0777",
            "fax_number": "210-690-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "ELLEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "M0151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAN-TIN",
            "last_name": "LIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.