Individual provider Active NPI

Carlos Buck Cheng Lam, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1366481590
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4664 Issued in HI
Practice address
1481 S King St
Suite 410
Honolulu, HI 96814-2601
Phone
(808) 946-0225
Fax
(808) 951-7222
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4664 HI Primary

Addresses

Primary practice location

1481 S King St
Suite 410
Honolulu, HI 96814-2601

Mailing address

1481 S King St
Suite 410
Honolulu, HI 96814-2601
Phone (808) 946-0225

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
I20050928001389 HI Practitioner - Internal Medicine 9931134988 Practice locations: Honolulu, HI; Pearl City, HI

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1481 S King St
Suite 410
Honolulu, HI 96814-2600
Phone (808) 946-0225

803 Kamehameha Hwy 412
Pearl City, HI 96782-2638
Phone (808) 455-9095

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4664HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos B.C. Lam, M.D. Internal Medicine PastSince Jun 1, 1983 Accepting new patients

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366481590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 S KING ST",
            "address_2": "SUITE 410",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142601",
            "telephone_number": "808-946-0225",
            "fax_number": "808-955-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 S KING ST",
            "address_2": "SUITE 410",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142601",
            "telephone_number": "808-946-0225",
            "fax_number": "808-951-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "CARLOS",
        "middle_name": "BUCK CHENG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "4664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.