Organization Active NPI

Lam a, Au, M.D., PH.D., P.a.

  • Internal Medicine Physician
  • Palmetto Bay, FL
National Provider Identifier
1205181575
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME44386 Issued in FL
Legal business name
LAM A, AU, M.D., PH.D., P.A.
Practice address
9275 SW 152ND St
Suite 108a
Palmetto Bay, FL 33157-1701
Phone
(305) 255-2505
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Lam A. Au, M.D.NPI 1457425423
Title
President
Phone
(305) 255-2505

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME44386 FL Primary

Addresses

Primary practice location

9275 SW 152ND St
Suite 108a
Palmetto Bay, FL 33157-1701

Mailing address

9275 SW 152ND St
Suite 108a
Palmetto Bay, FL 33157-1701
Phone (305) 255-2505

Other identifiers 2

IdentifierTypeStateIssuer
34023OtherFLORIDA BLUE
049-4917-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120829000360 FL Part B Supplier - Clinic/Group Practice 8628225554 Receives reassigned benefits from 1 practitioner
Practice locations: Palmetto Bay, FL

National Provider Directory

National Provider Directory

Locations

9275 SW 152nd St
Ste 108A
Palmetto Bay, FL 33157
Phone (305) 255-2505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1205181575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "SUITE 108A",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-255-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "SUITE 108A",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-255-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAM A, AU, M.D., PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "LAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-255-2505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME44386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "34023",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049-4917-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.