Individual provider Active NPI

Frederick Lin, M.D.

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1609220078
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
65561 Issued in AZ
Practice address
3400 Spruce St
Department of Emergency Medicine
Philadelphia, PA 19104-4238
Phone
(215) 662-4000
NPI assigned
Apr 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036153699 IL
Emergency Medicine Physician 207P00000X MT210382 PA
Emergency Medicine Physician 207P00000X 0101269845 VA
Emergency Medicine Physician 207P00000X 01084380A IN
Emergency Medicine Physician 207P00000X D90393 MD
Emergency Medicine Physician 207P00000X 2021040501 MO
Emergency Medicine Physician 207P00000X 333569 NY
Emergency Medicine Physician 207P00000X 65561 AZ Primary

Addresses

Primary practice location

3400 Spruce St
Department of Emergency Medicine
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Department of Emergency Medicine
Philadelphia, PA 19104-4238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, VA, AZ, NY, NJ6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20200820000834 PA Practitioner - Emergency Medicine 7012207301 Reassigns benefits to 2 organizations
I20201026001626 MD Practitioner - Emergency Medicine 7012207301 Reassigns benefits to 1 organization
I20220613001115 VA Practitioner - Emergency Medicine 7012207301 Reassigns benefits to 1 organization
I20220818000625 AZ Practitioner - Emergency Medicine 7012207301 Reassigns benefits to 1 organization
I20250124001021 NY Practitioner - Emergency Medicine 7012207301 Reassigns benefits to 1 organization
I20260622003595 NJ Practitioner - Emergency Medicine 7012207301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Perelman School of Med at the University of Pennsylvania, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Medical Associates New York PCGroup PAC ID 7618310368, 100 clinicians
Cep America- Arizona, PCGroup PAC ID 1850541970, 89 clinicians
Cep America LLCGroup PAC ID 6608056171, shared by 18 NPIs, 995 clinicians

Practice addresses (Care Compare)

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500

1405 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 256-7000

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 285-2011

900 Caton Ave
Baltimore, MD 21229-5201
Phone (410) 368-6000

Hospital & facility affiliations

  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Banner Ocotillo Medical Center Hospital, Chandler, AZ, CCN 030147

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
81.6
Improvement activities
40
Cost
77.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65561AZMDEmergency Medicine Physician
D90393MDMDEmergency Medicine Physician
0101269845VAMDEmergency Medicine Physician
333569NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Arizona PC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Cep America-Arizona, PC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Cep America- Arizona, PC Emergency Medicine Current Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 22, 2025 Accepting new patients
On Demand Urgent Care Group PC CurrentSince Aug 17, 2020 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

6060 Ridge Ave
Ste 100
Philadelphia, PA 19128
Phone (215) 483-6600

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Interoperability endpoints

  • Direct secure messaging: flin4609044@direct.trinity-health.org

Organizations & group practices 12

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1609220078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-21",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036153699",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT210382",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101269845",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01084380A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D90393",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2021040501",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "333569",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "65561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.