Individual provider Active NPI

Edward Lam, M.D.

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1275878050
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-17426 Issued in HI
Practice address
1188 Bishop St Ste 3208
Honolulu, HI 96813-3313
Phone
(808) 955-7897
Fax
(808) 955-7897
NPI assigned
Dec 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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 A123722 CA
Family Medicine Physician 207Q00000X MD-17426 HI Primary

Addresses

Primary practice location

1188 Bishop St Ste 3208
Honolulu, HI 96813-3313

Mailing address

1188 Bishop St Ste 3208
Honolulu, HI 96813-3313
Phone (808) 955-7897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20141016000633 HI Practitioner - Family Practice 2668693680 Reassigns benefits to 1 organization
Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1188 Bishop St
Suite 3208
Honolulu, HI 96813-3313
Phone (808) 955-7897

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123722CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lam Family Medicine LLC Family Medicine CurrentSince Nov 16, 2018 Accepting new patients

Locations

1188 Bishop St
Ste 3208
Honolulu, HI 96813
Phone (808) 955-7897

Organizations & group practices 1

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 4

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": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1275878050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 3208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133313",
            "telephone_number": "808-955-7897",
            "fax_number": "808-955-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 3208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133313",
            "telephone_number": "808-955-7897",
            "fax_number": "808-955-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A123722",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-17426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.