Organization Active NPI

Capital Region Foot Care PLLC

  • Foot Surgery Podiatrist
  • Albany, NY
National Provider Identifier
1114978038
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
3861 Issued in NY
Legal business name
CAPITAL REGION FOOT CARE PLLC
Practice address
104 Hackett Blvd
Albany, NY 12209-1525
Phone
(518) 465-3515
Fax
(518) 465-9859
NPI assigned
May 15, 2006
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Steven Lam, DPMNPI 1407933112
Title
Podiatrist
Phone
(518) 465-3515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 3861 NY Primary

Addresses

Primary practice location

104 Hackett Blvd
Albany, NY 12209-1525

Mailing address

104 Hackett Blvd
Albany, NY 12209-1525
Phone (518) 465-3515

Other identifiers 1

IdentifierTypeStateIssuer
00873872MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040122000335 NY Part B Supplier - Clinic/Group Practice 7416859343 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, NY
O20100930060944 NY DME Supplier - Physician - PodiatryDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic Personnel 7416859343 Practice locations: Albany, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Capitol Region Footcare PLLC104 Hackett Blvd, Albany, NY 12209-1525(518) 465-3515 Orthoses: Custom Fabricated|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

104 Hackett Blvd
Albany, NY 12209
Phone (518) 465-3515

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1114978038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091525",
            "telephone_number": "518-465-3515",
            "fax_number": "518-465-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091525",
            "telephone_number": "518-465-3515",
            "fax_number": "518-465-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL REGION FOOT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "518-465-3515",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "3861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00873872",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.