MAIN LINE RADIATION ONCOLOGY PC
NPI 1962402172
Radiology - Radiation Oncology in Wynnewood, PA
About Main Line Radiation Oncology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN LINE RADIATION ONCOLOGY PC (NPI 1962402172) is a healthcare organization registered as a radiation oncology in Wynnewood, Pennsylvania and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Linna Li, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Main Line Radiation Oncology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Main Line Radiation Oncology PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D1032242
Main Line Endocrinology · Wynnewood, PAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Main Line Radiation Oncology PC's NPI number?
The NPI number for Main Line Radiation Oncology PC is 1962402172. It was assigned to this organization in the NPPES registry on July 29, 2005.
Where is Main Line Radiation Oncology PC located?
Main Line Radiation Oncology PC is located at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (610) 645-2433.
What is Main Line Radiation Oncology PC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.
Is Main Line Radiation Oncology PC enrolled in Medicare?
Yes. Main Line Radiation Oncology PC is registered in the Medicare PECOS enrollment system.
When is Main Line Radiation Oncology PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Main Line Radiation Oncology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Radiation Oncology, reassign their Medicare billing to Main Line Radiation Oncology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Main Line Radiation Oncology PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D1032242) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Main Line Radiation Oncology PC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Main Line Radiation Oncology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Main Line Radiation Oncology PC was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Main Line Radiation Oncology Pc · NPI 1962402172
Radiation Oncology organization in Wynnewood, Pennsylvania. Organization record, active in the CMS NPPES registry since July 29, 2005.
## Identity
- **NPI:** 1962402172 (Entity type: Organization)
- **Enumerated:** July 29, 2005
- **Primary specialty:** Radiology - Radiation Oncology · taxonomy 2085R0001X
- **Organization subpart:** No
- **Authorized official:** Linna Li, PHYSICIAN
## Practice location
- **Address:** 100 E LANCASTER AVE, Wynnewood, PA 19096-3450
- **Phone:** (610) 645-2433
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians (Radiation Oncology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2025
- **Other identifiers:** Medicaid 0016753680001 (PA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962402172) · Data from the CMS NPPES public registry.