Jinyi Ling, DO
Individual provider Active NPI Internal Medicine Physician · Johnstown, CO
NPI 1891925699 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1891925699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- DR.0055545 (CO)
- Practice address
- 4901 Thompson Pkwy
Johnstown, CO 80534-6426 - Phone
- (303) 338-4545
- NPI assigned
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Colorado Permanente Medical Group PC
Practice addresses (Care Compare)
4901 Thompson Pkwy
Johnstown, CO 80534-6426
Phone (303) 338-4545
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150825003814 | CO | Practitioner - Internal Medicine | 5799937173 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0055545 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Permanente Medical Group, P.C. | Internal Medicine | Current |
Accepting new patients |
| Las Cruces Physician Services LLC | Past |
Accepting new patients | |
| Familycare Associates,PA | Past | Accepting new patients |
Locations
10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350
4901 Thompson Pkwy
Loveland, CO 80534
Phone (970) 613-2320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0055545 | CO | |
| Internal Medicine Physician | 207R00000X | DR.0055545 | CO | Yes |
Addresses
Primary practice location
4901 Thompson Pkwy
Johnstown, CO 80534-6426
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37681745 | Medicaid | NM | |
| 36202851 | Medicaid | CO | |
| 028986 | Other | CO | KAISER COMMERCIAL NUMBER |
Other names
- Jinyi Ling-Smith
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Johnstown, CO
- Geneane Lazo
- Dona Jean Leonard
- Kristin Kay Lewis
- Megan Lierz
- Lilvia Surgical Assisting, LLC.
- Julie Link
- Emily Alaine Lobato
- Monica Londono
- Melissa Dawn Luft
- Steven L Martin
All providers in Johnstown, CO · Internal Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.