Individual provider Active NPI

Xiao Lin, MD

  • Radiation Oncology Physician
  • Indianapolis, IN
National Provider Identifier
1750382586
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01055822A Issued in IN
Practice address
1440 E County Line Rd Ste 1200
Indianapolis, IN 46227-0963
Phone
(317) 497-6270
Fax
(317) 497-2522
NPI assigned
Aug 2, 2005
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 01055822A IN Primary

Addresses

Primary practice location

1440 E County Line Rd Ste 1200
Indianapolis, IN 46227-0963

Mailing address

7910 W Jefferson Blvd Ste 110
Fort Wayne, IN 46804-4159
Phone (260) 436-4116

Other identifiers 3

IdentifierTypeStateIssuer
2314418MedicaidOH
1750382586MedicaidMI
200376670MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address xlin49426@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20091217000356 IN Practitioner - Radiation Oncology 7810993995 Reassigns benefits to 1 organization
I20240312003179 OH Practitioner - Radiation Oncology 7810993995 Reassigns benefits to 2 organizations
I20250605000539 MI Practitioner - Radiation Oncology 7810993995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111

5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (517) 577-0845

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jan 27, 2024 Accepting new patients
Promedica Multi Specialty Physicians CurrentSince Nov 9, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Dec 1, 2020 Accepting new patients
Promedica Central Physicians CurrentSince Jan 27, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Dec 1, 2020 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1440 E County Line Rd
Indianapolis, IN 46227
Phone (317) 497-2833

1440 E County Line Rd
Ste 1200
Indianapolis, IN 46227
Phone (317) 497-6270

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000

777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282

Interoperability endpoints

  • Direct secure messaging: xlin49426@edirect.crh.org

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1750382586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD STE 110",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-4116",
            "fax_number": "260-436-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E COUNTY LINE RD STE 1200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270963",
            "telephone_number": "317-497-6270",
            "fax_number": "317-497-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "XIAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01055822A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314418",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750382586",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200376670",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xlin49426@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "2400 17th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.