Individual provider Active NPI

Kevin Kar-Fai Tam, PA-C, LAT, ATC

  • Physician Assistant
  • Parkville, MD
National Provider Identifier
1194273847
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0010141 Issued in MD
Practice address
16 Dendron CT
Parkville, MD 21234-1546
Phone
(301) 524-9177
NPI assigned
Sep 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physician Assistant 363A00000X C0010141 MD Primary

Addresses

Primary practice location

16 Dendron CT
Parkville, MD 21234-1546

Mailing address

16 Dendron CT
Parkville, MD 21234-1546
Phone (301) 524-9177

Other practice location 1

2204 Candices Choice Ct Apt J
Bel Air, MD 21015-6775
Phone (301) 524-9177

Other practice location 2

1 Rembert Ct Apt 102
Parkville, MD 21234-1721
Phone (301) 524-9177

Other practice location 3

13 Dawson Ct
Pittsburgh, PA 15213-4526
Phone (301) 524-9177

Other practice location 4

900 W Creek Village Dr Apt E2
Elkton, MD 21921-4209
Phone (301) 524-9177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210004055 MD Practitioner - Physician Assistant 6204320864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland St. Joseph Orthopaedics, LLCGroup PAC ID 0941455794, 36 clinicians

Practice addresses (Care Compare)

201 Plumtree Rd
Suite 301
Bel Air, MD 21015-6044
Phone (410) 569-8587

Hospital & facility affiliations

  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0010141MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Orthopaedics, LLC CurrentSince Nov 1, 2025 Accepting new patients
University of Maryland St. Joseph Orthopaedics, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

201 Plumtree Rd
Ste 301
Bel Air, MD 21015
Phone (410) 569-3326

8322 Bellona Ave
Towson, MD 21204
Phone (410) 328-3645

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1194273847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DENDRON CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341546",
            "telephone_number": "301-524-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DENDRON CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341546",
            "telephone_number": "301-524-9177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 Candices Choice Ct Apt J",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210156775",
            "country_code": "US",
            "telephone_number": "301-524-9177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Rembert Ct Apt 102",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212341721",
            "country_code": "US",
            "telephone_number": "301-524-9177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13 Dawson Ct",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152134526",
            "country_code": "US",
            "telephone_number": "301-524-9177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Creek Village Dr Apt E2",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219214209",
            "country_code": "US",
            "telephone_number": "301-524-9177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAM",
        "first_name": "KEVIN",
        "middle_name": "KAR-FAI",
        "credential": "PA-C, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0010141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.