Individual provider Active NPI

Shao-Pow Lin, M.D., PH.D.

  • Neuroradiology Physician
  • Las Vegas, NV
National Provider Identifier
1669553954
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
13082 Issued in NV
Practice address
4101 Wagon Trail Ave
Las Vegas, NV 89118-4426
Phone
(702) 942-4123
Fax
(702) 942-4124
NPI assigned
Oct 17, 2006
Last updated
Jan 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2002013710 MO
Neuroradiology Physician 2085N0700X 13082 NV Primary

Addresses

Primary practice location

4101 Wagon Trail Ave
Las Vegas, NV 89118-4426

Mailing address

1 Independence PT Ste 202
Greenville, SC 29615-4536
Phone (877) 406-2916

Other identifiers 2

IdentifierTypeStateIssuer
P00769702OtherRR MEDICARE
1669553954MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20161219000682 CA Practitioner - Diagnostic Radiology 5193816940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Washington University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lambert Radiology Medical Group IncGroup PAC ID 8224032271, 68 clinicians

Practice addresses (Care Compare)

12401 Washington Blvd
Whittier, CA 90602-1099
Phone (562) 698-0611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.22 of 100Reported as group
Quality
78.14
Improvement activities
40
Cost
80.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002013710MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Apr 5, 2022 Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Apr 21, 2025 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Apr 5, 2022 Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

11721 Whittier Blvd
Whittier, CA 90601
Phone (310) 422-8224

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

12401 Washington Blvd
#1182
Whittier, CA 90602
Phone (562) 698-0611

Organizations & group practices 5

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 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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1669553954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 202",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "877-406-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WAGON TRAIL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184426",
            "telephone_number": "702-942-4123",
            "fax_number": "702-942-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "SHAO-POW",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2002013710",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NV",
            "license": "13082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00769702",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669553954",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.