Active NPI
George Lum, M.D.
- Internal Medicine Physician
- Flushing, NY
National Provider Identifier
1285664045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 170293
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01041372 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 170293 | NY | MD | Dermatology Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIEABA/Endpoint/EIEABA
- gel9037@direct.nyp.org
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NYP-Queens Diagnostic Lab
- Clinical Medical Laboratory
- Flushing, NY
- NPI 1053429274
Hospital
-
dba Transitional Care Unit
- Skilled Nursing Facility
- Flushing, NY
- NPI 1689958779
Hospital
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.