Individual provider Active NPI

Charlie T Lin, D.O.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1659314763
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2835 Issued in NV
Practice address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone
(702) 952-9171
Fax
(702) 952-9136
NPI assigned
Jun 14, 2006
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7717 CA
Family Medicine Physician 207Q00000X 9424738-1204 UT
Family Medicine Physician 207Q00000X DO2835 NV Primary

Addresses

Primary practice location

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

931 Buena Vista St
Suite 405
Duarte, CA 91010-1712
Phone (626) 303-0620

Other practice location 2

577 S River Rd
St George, UT 84790-2097
Phone (435) 688-6300

Other practice location 3

888 S Rancho Dr
Las Vegas, NV 89106-3810
Phone (702) 838-8265

Other identifiers 3

IdentifierTypeStateIssuer
CMM70445FMedicaidCA
DO2835OtherNVLICENSE
1659314763MedicaidNV

Other names 1

  • Dr. Tzuchang Lin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charlie.lin@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 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
I20150724011888 UT Practitioner - Family Practice 3476456682 Reassigns benefits to 1 organization
I20210114001678 NV Practitioner - Family Practice 3476456682 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

304 Wainwright Dr
Suite 130
Northbrook, IL 60062-1919

4700 Millenia Blvd
Suite 650
Orlando, FL 32839-6013

577 S River Rd
St George, UT 84790-2097

6355 S Buffalo Dr
FL 3
Las Vegas, NV 89113-2133

PO Box
Las Vegas, NV 89133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7717CAMDClinical Social Worker
11547CAMDAcupuncturist
20A7717CAMDFamily Medicine Physician
DO2835NVMDFamily Medicine Physician
9424738-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Centerwell Senior Primary Care (NV) PC Family Medicine CurrentSince Apr 15, 2024 Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince Dec 7, 2025 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Dec 7, 2025 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 1, 2015 Accepting new patients
Centerwell Senior Primary Care (NV) PC Family Medicine CurrentSince Apr 15, 2024 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jan 11, 2021 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jan 11, 2021 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Centerwell Senior Primary Care NV P C Family Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

6355 S Buffalo Dr
Las Vegas, NV 89113
Phone (702) 318-2400

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375

915 S Rainbow Blvd
Las Vegas, NV 89145
Phone (725) 220-8667

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

75 N 2260 W
Hurricane, UT 84737
Phone (435) 635-6400

577 S River Rd
St George, UT 84790
Phone (435) 688-6000

Interoperability endpoints

  • Direct secure messaging: charlie.lin.1@27998.direct.athenahealth.com
  • Direct secure messaging: charlie.lin@direct.imail.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1659314763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-952-9171",
            "fax_number": "702-952-9136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "931 Buena Vista St",
            "address_2": "Suite 405",
            "address_purpose": "LOCATION",
            "city": "Duarte",
            "state": "CA",
            "postal_code": "910101712",
            "country_code": "US",
            "telephone_number": "626-303-0620",
            "fax_number": "626-301-0786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "577 S River Rd",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847902097",
            "country_code": "US",
            "telephone_number": "435-688-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 S Rancho Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891063810",
            "country_code": "US",
            "telephone_number": "702-838-8265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHARLIE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7717",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9424738-1204",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70445F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DO2835",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659314763",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlie.lin@direct.imail.org",
            "affiliation": "N",
            "address_1": "577 S River Rd",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847902097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TZUCHANG",
            "last_name": "LIN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.