Individual provider Active NPI

Russell C Lam, M.D.

  • Vascular Surgery Physician
  • Dallas, TX
National Provider Identifier
1013122381
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
M6717 Issued in TX
Practice address
8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420
Phone
(214) 345-4160
Fax
(214) 345-4165
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X M6717 TX Primary

Addresses

Primary practice location

8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420

Mailing address

8210 Walnut Hill LN
Suite 505
Dallas, TX 75231-4405
Phone (214) 345-4160

Other identifiers 1

IdentifierTypeStateIssuer
187591603MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070813000738 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 8022109511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell C Lam MD PAGroup PAC ID 1951459080, 12 clinicians

Practice addresses (Care Compare)

8210 Walnut Hill LN
Suite 505
Dallas, TX 75231-4420
Phone (214) 345-4160

Hospital & facility affiliations

  • Provista Healthcare Home health agency, Dallas, TX, CCN 453177
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as individual
Quality
76.39
Improvement activities
40
Cost
69.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal64
Leg revascularization (restoring blood flow)250

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Russell C. Lam, M.D., P.a. Vascular Surgery CurrentSince Apr 16, 2009 Accepting new patients
Cardiovascular Specialty Associates of North Texas, P.a. Vascular Surgery Past Accepting new patients

Locations

8210 Walnut Hill Ln
Ste 505
Dallas, TX 75231
Phone (214) 345-4160

Interoperability endpoints

  • Direct secure messaging: dmcrlam@yourcarecommunity.org

Organizations & group practices 2

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 3

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1013122381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "SUITE 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314420",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "RUSSELL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "M6717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187591603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.