Organization Active NPI

Si-Hoi Lam, MD, LLC

  • Internal Medicine Physician
  • Branford, CT
National Provider Identifier
1255530325
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SI-HOI LAM, MD, LLC
Practice address
173 Montowese St
Branford, CT 06405-3887
Phone
(203) 483-6285
Fax
(203) 483-6217
NPI assigned
Jul 17, 2007
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Mr. Si-Hoi Lam, M.D.,NPI 1477574929
Title
Doctor
Phone
(203) 483-6285

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

173 Montowese St
Branford, CT 06405-3887

Mailing address

173 Montowese St
Branford, CT 06405-3887
Phone (203) 483-6285

Other identifiers 1

IdentifierTypeStateIssuer
001248004MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050509000365 CT Part B Supplier - Clinic/Group Practice 9537109624 Receives reassigned benefits from 1 practitioner
Practice locations: Branford, CT

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0967895Si-Hoi Lam MD LLC173 Montowese Street, Branford, CT 06405Provider-performed microscopyNov 28, 2027

National Provider Directory

National Provider Directory

Locations

173 Montowese St
Branford, CT 06405
Phone (203) 433-0299

Practitioners & affiliated clinicians

Practitioners 1

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1255530325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MONTOWESE ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053887",
            "telephone_number": "203-483-6285",
            "fax_number": "203-483-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MONTOWESE ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053887",
            "telephone_number": "203-483-6285",
            "fax_number": "203-483-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SI-HOI LAM, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "SI-HOI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "203-483-6285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001248004",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.