Individual provider Active NPI

David Anthony Lam, MD

  • Dermatology Physician
  • Tarpon Springs, FL
National Provider Identifier
1114919602
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME85485 Issued in FL
Practice address
1005 E Boyer St
Tarpon Springs, FL 34689-5501
Phone
(727) 934-7638
Fax
(727) 944-4052
NPI assigned
Aug 19, 2005
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X ME85485 FL
Dermatology Physician 207N00000X ME85485 FL Primary
Procedural Dermatology Physician 207NS0135X ME85485 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME85485 FL

Addresses

Primary practice location

1005 E Boyer St
Tarpon Springs, FL 34689-5501

Mailing address

PO Box 23329
New York, NY 10087-3329
Phone (410) 873-8500

Other practice location 1

2044 Trinity Oaks Blvd Ste 130
Trinity, FL 34655-4405
Phone (727) 375-5961

Other identifiers 1

IdentifierTypeStateIssuer
270809400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040511001333 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6406845627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Louisville School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Alliance in Dermatology IncGroup PAC ID 8729077938, 46 clinicians

Practice addresses (Care Compare)

1005 E Boyer St
Tarpon Springs, FL 34689-5501
Phone (727) 934-7638

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision477
Removal of tissue1-10
Removal of skin lesions4572
Removal of skin cancer1598
Removal of nail tissue1-10
Removal or shaving of skin growth38
Skin biopsy2372

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85485FLMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Alliance in Dermatology, PLLC Dermatology CurrentSince Jun 6, 2021 Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology CurrentSince Jun 30, 2003 Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology PastSince Jun 1, 2021 Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology PastSince Jun 15, 2021 Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology PastSince Jun 15, 2021 Accepting new patients

Locations

13910 Fivay Rd
Ste 5
Hudson, FL 34667
Phone (727) 259-7930

6600 University Pkwy
Ste 302
Sarasota, FL 34240
Phone (941) 800-5001

3950 3rd St N
Ste A
St Petersburg, FL 33703
Phone (727) 821-0612

2919 W Swann Ave
Ste 205
Tampa, FL 33609
Phone (813) 514-8985

4238 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 870-2528

5210 Webb Rd
Tampa, FL 33615
Phone (813) 882-9986

1005 E Boyer St
Tarpon Springs, FL 34689
Phone (727) 934-7638

2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dlam@aadermaffiliates.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1114919602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329",
            "telephone_number": "410-873-8500",
            "fax_number": "410-883-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E BOYER ST",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346895501",
            "telephone_number": "727-934-7638",
            "fax_number": "727-944-4052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2044 Trinity Oaks Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346554405",
            "country_code": "US",
            "telephone_number": "727-375-5961",
            "fax_number": "727-376-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "FL",
            "license": "ME85485",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME85485",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME85485",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME85485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270809400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.