Active NPI
Emery Lin, M.D.
- Gastroenterology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD196920
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-4373
- Fax
- (503) 494-7556
- NPI assigned
- Mar 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD196920 | OR | |
| Gastroenterology Physician | 207RG0100X | MD196920 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-4373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Northwestern University Feinberg Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD196920 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Internal Medicine | Current | Accepting new patients |
| University Professional Services | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Drexel University | Current | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
9900 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-8240
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660
219 N Broad St
Fl 5
Philadelphia, PA 19107
Phone (215) 762-6070
1601 Cherry St
Ste 11511
Philadelphia, PA 19102
1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530
Interoperability endpoints
- elinmd90788@direct.ohsu.edu
Organizations & group practices 9
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.
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Internal Medicine
-
- General Practice Physician
- Portland, OR
- NPI 1649722034
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- Adult Mental Health Clinic/Center
- Portland, OR
- NPI 1750753687
-
- Audiologist
- Elkins Park, PA
- NPI 1104822253
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1245333749
-
- Psychologist
- Philadelphia, PA
- NPI 1902900095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1871869362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-4373",
"fax_number": "503-494-7556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-4373",
"fax_number": "503-494-7556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "EMERY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-28",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD196920",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OR",
"license": "MD196920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.