Individual provider Active NPI

Annie Z Lin, MD

  • Internal Medicine Physician
  • Catonsville, MD
National Provider Identifier
1699763987
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0061332 Issued in MD
Practice address
405 Frederick Rd
Suite 210
Catonsville, MD 21228-4645
Phone
(410) 788-6565
Fax
(410) 747-4688
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0061332 MD Primary
Pediatrics Physician 208000000X D0061332 MD

Addresses

Primary practice location

405 Frederick Rd
Suite 210
Catonsville, MD 21228-4645

Mailing address

405 Frederick Rd
Suite 210
Catonsville, MD 21228-4645
Phone (410) 788-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20051025001100 MD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6204853641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Rutgers New Jersey Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

301 Saint Paul St
Suite 409
Baltimore, MD 21202-2102
Phone (410) 659-7041

405 Frederick Rd
Suite 210
Catonsville, MD 21228-4647
Phone (410) 788-6565

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061332MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC Internal Medicine CurrentSince Oct 3, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 21, 2017 Accepting new patients
Privia Care Center LLC Internal Medicine CurrentSince Oct 3, 2018 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Mar 21, 2017 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

405 Frederick Rd
Ste 210
Catonsville, MD 21228
Phone (410) 788-6565

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: annie.lin.1@8042.direct.athenahealth.com

Organizations & group practices 7

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1699763987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD",
            "address_2": "SUITE 210",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284645",
            "telephone_number": "410-788-6565",
            "fax_number": "410-747-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD",
            "address_2": "SUITE 210",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284645",
            "telephone_number": "410-788-6565",
            "fax_number": "410-747-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "ANNIE",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0061332",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0061332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.