NPIMap

Individual provider Active NPI

Charlie K Lan, D.O.

  • Pulmonary Disease Physician
  • Houston, TX
National Provider Identifier
1063435147
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
L0362 Issued in TX
Practice address
2002 Holcombe Blvd
3C-383
Houston, TX 77030-4211
Phone
(713) 794-7961
Fax
(713) 794-7316
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X L0362 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X L0362 TX
Pulmonary Disease Physician 207RP1001X L0362 TX Primary

Addresses

Primary practice location

2002 Holcombe Blvd
3C-383
Houston, TX 77030-4211

Mailing address

3749 Drummond St
Houston, TX 77025-2417
Phone (832) 277-3949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0362TXMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Doctors PLLC Sleep Medicine PastSince Dec 1, 2020 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Williamson Pulmonary &Sleep Associates, P.L.L.C. Pulmonary Disease Past Accepting new patients
Austin Critical Care Specialists PA Critical Care Medicine Past Accepting new patients
Williamson County Pulmonary & Sleep Study Associates PA Pulmonary Disease Past Accepting new patients
Austin Critical Care Specialists PA Critical Care Medicine Past Accepting new patients
Pulmonary and Internal Medicine Associates, L.L.P. Critical Care Medicine PastSince Aug 1, 2005 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBICCD

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1063435147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 DRUMMOND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770252417",
            "telephone_number": "832-277-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD",
            "address_2": "3C-383",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304211",
            "telephone_number": "713-794-7961",
            "fax_number": "713-794-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAN",
        "first_name": "CHARLIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "L0362",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "L0362",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L0362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.