Individual provider Active NPI

Kevin Kwan Lam, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
National Provider Identifier
1134322373
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3169 Issued in FL
Practice address
730 Goodlette Rd Ste 102
Naples, FL 34102-5617
Phone
(239) 430-3668
Fax
(866) 798-6785
NPI assigned
Jun 6, 2007
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3169 FL Primary

Addresses

Primary practice location

730 Goodlette Rd Ste 102
Naples, FL 34102-5617

Mailing address

730 Goodlette Rd Ste 102
Naples, FL 34102-5617
Phone (239) 430-3668

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000136 FL Practitioner - Podiatry 8729011473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot and Leg Center PAGroup PAC ID 3678506326, 16 clinicians

Practice addresses (Care Compare)

730 Goodlette Rd
Suite 102
Naples, FL 34102-5617
Phone (239) 430-3366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as individual
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue195
Removal of skin lesions40
Removal of nail tissue1022
Removal or shaving of skin growth455
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3169FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot and Leg Center PA Foot & Ankle Surgery CurrentSince Apr 23, 2005 Accepting new patients
Family Foot and Leg Center PA Podiatrist CurrentSince Aug 1, 2005 Accepting new patients
Family Foot and Leg Center PA Foot & Ankle Surgery Past Accepting new patients
Family Foot and Leg Center PA Foot & Ankle Surgery Past Accepting new patients
Family Foot and Leg Center PA Foot & Ankle Surgery Past Accepting new patients
Family Foot and Leg Center PA Foot & Ankle Surgery Past Accepting new patients
Family Foot and Leg Center PA Foot & Ankle Surgery Past Accepting new patients
Family Foot and Leg Center PA Foot & Ankle Surgery Past Accepting new patients
Family Foot and Leg Center PA Foot & Ankle Surgery Past Accepting new patients

Locations

12250 Tamiami Trl E
Ste 101
Naples, FL 34113
Phone (239) 417-2256

661 Goodlette Rd
Ste 103
Naples, FL 34102

730 Goodlette Rd
Ste 102
Naples, FL 34102
Phone (231) 343-2027

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9455/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kevin.lam.1@9455.direct.athenahealth.com

Organizations & group practices 9

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.

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1134322373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 GOODLETTE RD STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025617",
            "telephone_number": "239-430-3668",
            "fax_number": "866-798-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 GOODLETTE RD STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025617",
            "telephone_number": "239-430-3668",
            "fax_number": "866-798-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "KEVIN",
        "middle_name": "KWAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.