Individual provider Active NPI

Laura Chin-Lenn, MD

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1619983624
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME85270 Issued in FL
Practice address
1485 Gateway Blvd Ste 102
Boynton Beach, FL 33426-8313
Phone
(561) 572-3227
Fax
(561) 572-3228
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME85270 FL Primary

Addresses

Primary practice location

1485 Gateway Blvd Ste 102
Boynton Beach, FL 33426-8313

Mailing address

PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (954) 363-9582

Other identifiers 2

IdentifierTypeStateIssuer
ME85270OtherFLMEDICAL LICENSE
007334900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040621000563 FL Practitioner - Family Practice 1355326711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Consultants of Florida LLCGroup PAC ID 6002988847, 35 clinicians

Practice addresses (Care Compare)

1485 Gateway Blvd
Boynton Beach, FL 33426-8313
Phone (561) 572-3227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85270FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Consultants of Florida, LLC Family Medicine CurrentSince Sep 1, 2007 Accepting new patients
Xpress Urgent Care, LLC. Current Accepting new patients
Medical Resources, LLC Past Accepting new patients

Locations

1485 Gateway Blvd
Ste 102
Boynton Beach, FL 33426
Phone (561) 572-3227

1485 Gateway Blvd
Boynton Beach, FL 33426
Phone (561) 231-6999

328 N Congress Ave
Boynton Beach, FL 33426
Phone (561) 572-3227

672 SW Prima Vista Blvd
Ste 101
Port St Lucie, FL 34983
Phone (772) 905-2555

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1619983624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 GATEWAY BLVD STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268313",
            "telephone_number": "561-572-3227",
            "fax_number": "561-572-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN-LENN",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME85270",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007334900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.