Individual provider Active NPI

Annie Lam, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1124556873
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S4329 Issued in TX
Practice address
9701 Harmon Rd Ste 141
Fort Worth, TX 76177-7602
Phone
(214) 947-5400
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10061107 TX
Family Medicine Physician 207Q00000X S4329 TX Primary

Addresses

Primary practice location

9701 Harmon Rd Ste 141
Fort Worth, TX 76177-7602

Mailing address

9701 Harmon Rd Ste 141
Fort Worth, TX 76177-7602

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
I20200716001445 TX Practitioner - Family Practice 2567730286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

9701 Harmon Rd
Suite 141
Fort Worth, TX 76177-7602
Phone (817) 306-5630

Hospital & facility affiliations

  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103
  • Texas Health Harris Methodist Hospital Alliance Hospital, Fort Worth, TX, CCN 670085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S4329TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Aug 24, 2020 Accepting new patients
Medical Clinic of North Texas, PLLC Family Medicine CurrentSince Aug 24, 2020 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

9701 Harmon Rd
Ste 141
Ft Worth, TX 76177
Phone (817) 306-5630

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

Interoperability endpoints

  • Direct secure messaging: annie.lam@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 2

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1124556873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 HARMON RD STE 141",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 HARMON RD STE 141",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777602",
            "telephone_number": "214-947-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "ANNIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10061107",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S4329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.