Individual provider Active NPI

George Lum, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1285664045
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
170293 Issued in NY
Practice address
13630 Maple Ave
Suite 1J
Flushing, NY 11355-3865
Phone
(718) 886-8251
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 170293 NY Primary

Addresses

Primary practice location

13630 Maple Ave
Suite 1J
Flushing, NY 11355-3865

Mailing address

13630 Maple Ave
Suite 1J
Flushing, NY 11355-3865
Phone (718) 886-8251

Other identifiers 1

IdentifierTypeStateIssuer
01041372MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100714000316 NY Practitioner - Internal Medicine 6709918592 Practice locations: Briarwood, NY; Flushing, NY; Jamaica, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13630 Maple Ave
1J
Flushing, NY 11355-3869
Phone (718) 886-8251

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170293NYMDDermatology Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIEABA/Endpoint/EIEABA
  • Direct secure messaging: gel9037@direct.nyp.org

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1285664045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE",
            "address_2": "SUITE 1J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553865",
            "telephone_number": "718-886-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE",
            "address_2": "SUITE 1J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553865",
            "telephone_number": "718-886-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01041372",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.