NPIMap

Individual provider Active NPI

Irene Lin, D.O.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1881865996
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
005047 Issued in AZ
Practice address
9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Phone
(317) 579-2150
Fax
(317) 579-2130
NPI assigned
Mar 17, 2008
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 20A 8466 CA
Diagnostic Radiology Physician 2085R0202X 005047 AZ Primary

Addresses

Primary practice location

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307

Mailing address

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Phone (317) 579-2150

Other identifiers 1

IdentifierTypeStateIssuer
349152MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000420 AZ Practitioner - Diagnostic Radiology 0244305043 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Valley Radiology Associates PLLCGroup PAC ID 2062916083, 32 clinicians

Practice addresses (Care Compare)

Scottsdale, AZ 85266
Phone (480) 728-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005047AZMDDiagnostic Radiology Physician
20A 8466CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Cochise Community Hospital Inc CurrentSince Dec 22, 2012 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince May 7, 2019 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince May 7, 2019 Accepting new patients
Hancock Health Gateway Services Inc CurrentSince Oct 1, 2020 Accepting new patients
Benson Hospital Corporation CurrentSince Feb 17, 2013 Accepting new patients
Benson Hospital Corporation CurrentSince Feb 17, 2013 Accepting new patients
East Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
City of Hope Medical Group of Arizona LLC Diagnostic Radiology CurrentSince Mar 5, 2017 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients

Locations

12725 W Indian School Rd
Ste C105
Avondale, AZ 85392
Phone (623) 512-4873

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

20750 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 233-2468

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

901 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-3541

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

2610 Sheridan Rd
Zion, IL 60099

6189 W John L Modglin Dr
Ste 103
Greenfield, IN 46140
Phone (317) 866-7301

Interoperability endpoints

  • Direct secure messaging: gehilin@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1881865996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9998 CROSSPOINT BLVD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563307",
            "telephone_number": "317-579-2150",
            "fax_number": "317-579-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 CROSSPOINT BLVD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563307",
            "telephone_number": "317-579-2150",
            "fax_number": "317-579-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A 8466",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "005047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349152",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.