DR. ANDY LIU LIN (MD) – Internal Medicine Physician, NPI 1134879802

DR. ANDY LIU LIN (MD) is a healthcare provider. based in Stockton, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A187705 (CA). The NPI Number for DR. ANDY LIU LIN (MD) is 1134879802

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDY LIU LIN (MD)
NPI
1134879802
Phone
(209) 487-3226
Address
6141 RIVERBANK CIR
Enumeration Date
25 March 2022
Last Update Date
4 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144567890
Graduation Year
2022 (4 years ago)
PAC ID
3072970425
Group Practice PAC ID
3971609611
Professional Enrollment ID
I20250701003559
Address ID
CA928683201OR101XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for DR. ANDY LIU LIN (MD)

  • 6141 RIVERBANK CIR

    STOCKTON, CA 952192524

    Phone: (209) 487-3226

    Type: Mailing

  • 200 S MANCHESTER AVE STE 300

    ORANGE, CA 928683219

    Phone: (714) 456-8888

    Type: Mailing

  • 101 THE CITY DR S STE 400

    ORANGE, CA 928683201

    Phone: (714) 456-5691

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Merz Pharmaceuticals, LLC ($150).

Total Amount

$150

General + Research + Ownership

Payments

2

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merz Pharmaceuticals, LLC$150
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250701003559IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95219)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971609611View full group profile
NameSpecialtyState
Internal Medicine, HospitalistCA
Internal MedicineCA
Internal MedicineMO
Internal MedicineCA
Internal MedicineCA
Internal MedicineCA
Family PracticeCA
Internal MedicineCA
Hospice/Palliative Care, Internal MedicineCA
Internal MedicineCA

Reviews

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Frequently asked questions

Where can patients find DR. ANDY LIU LIN (MD)'s NPI?
You can confirm DR. ANDY LIU LIN (MD) with NPI 1134879802; it appears in the national provider directory.
Is DR. ANDY LIU LIN (MD)'s NPI currently valid?
The extract we use shows DR. ANDY LIU LIN (MD) as active.
Can you summarize DR. ANDY LIU LIN (MD)'s specialty in plain language?
Clinically, the directory lists DR. ANDY LIU LIN (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. ANDY LIU LIN (MD)?
We surface Stockton, California for DR. ANDY LIU LIN (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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