Individual provider Active NPI

John Lin, MD

  • Diagnostic Radiology Physician
  • Glendale, AZ
National Provider Identifier
1972593929
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28853 Issued in AZ
Practice address
5605 W Eugie Ave Ste 110
Glendale, AZ 85304-1273
Phone
(623) 847-2000
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 28853 AZ Primary

Addresses

Primary practice location

5605 W Eugie Ave Ste 110
Glendale, AZ 85304-1273

Mailing address

2323 W Rose Garden LN
Phoenix, AZ 85027-2530
Phone (623) 931-7999

Other practice location 1

2323 W Rose Garden Ln
Phoenix, AZ 85027-2530
Phone (623) 931-7999

Other identifiers 1

IdentifierTypeStateIssuer
548505MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040513001375 AZ Practitioner - Diagnostic Radiology 5496745275 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Practice addresses (Care Compare)

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (832) 915-2534

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (832) 915-2534

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (832) 915-2534

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (832) 915-2534

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

6808 N 48TH St
Paradise Valley, AZ 85253-4060
Phone (832) 915-2534

9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (832) 915-2534

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Page Hospital Current Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jul 24, 2020 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Toca at Banner Health LLC CurrentSince Feb 12, 2021 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Toca at Banner Health LLC CurrentSince Feb 12, 2021 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Banner Imaging Services LLC CurrentSince Jan 1, 2020 Accepting new patients
Scottsdale Medical Imaging, LTD Diagnostic Radiology Past Accepting new patients

Locations (25 of 70)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1828 E Florence Blvd
Ste B118
Casa Grande, AZ 85122

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198

665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500

3645 S Rome St
Ste 101
Gilbert, AZ 85297

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5757 W Thunderbird Rd
Ste W100
Glendale, AZ 85306
Phone (623) 931-7999

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

7701 W Aspera Blvd
Ste 101
Glendale, AZ 85308
Phone (623) 248-2100

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1450 S Dobson Rd
Ste A100
Mesa, AZ 85202
Phone (480) 545-9779

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1972593929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272530",
            "telephone_number": "623-931-7999",
            "fax_number": "623-842-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041273",
            "telephone_number": "623-847-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 W Rose Garden Ln",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850272530",
            "country_code": "US",
            "telephone_number": "623-931-7999",
            "fax_number": "623-842-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "28853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548505",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.