Individual provider Active NPI

Loan Kim Lam, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tampa, FL
National Provider Identifier
1386866077
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3302 Issued in FL
Practice address
15303 Amberly Dr Ste C
Tampa, FL 33647-2308
Phone
(813) 212-6517
Fax
(813) 212-6518
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X PO3302 FL
Phlebology Physician 202K00000X PO3302 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO3302 FL Primary

Addresses

Primary practice location

15303 Amberly Dr Ste C
Tampa, FL 33647-2308

Mailing address

15303 Amberly Dr Ste C
Tampa, FL 33647-2308
Phone (813) 212-6517

Other names 1

  • Dr. Loan Kim Lam Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071114000107 FL Practitioner - Podiatry 0143318857 Reassigns benefits to 1 organization
I20260628000011 FL Practitioner - General Practice 0143318857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wazni PLLCGroup PAC ID 2860629466, 30 clinicians

Practice addresses (Care Compare)

3609 Madaca LN
Tampa, FL 33618-2048
Phone (800) 991-6117

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Clearwater, FL, CCN 103175
  • Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145
  • Adventhealth Home Health Home health agency, Temple Terrace, FL, CCN 107414
  • Empower Home Care Home health agency, Sun City Center, FL, CCN 687110
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue647
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wazni, PLLC CurrentSince Mar 3, 2021 Accepting new patients
Aetherus Wound and Lymphatics PLLC CurrentSince Jun 1, 2026 Accepting new patients
Advanced Wound & Lymphatic Institute LLC PastSince Jun 1, 2026 Accepting new patients
Colorado Medical Group, PLLC Past Accepting new patients
Comprehensive Foot and Ankle Specialists of Collier Foot & Ankle Surgery Past Accepting new patients
Guru Healthcare, LLC PastSince Jun 1, 2017 Accepting new patients

Locations

1900 Glades Rd
Ste 100
Boca Raton, FL 33431
Phone (561) 416-1145

18167 US Highway 19 N
Ste 100
Clearwater, FL 33764
Phone (727) 233-4177

2290 10th Ave N
Ste 101
Lake Worth, FL 33461
Phone (561) 450-2703

3003 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 687-8990

4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918

4215 Burns Rd
Ste 260
Palm Beach Gardens, FL 33410

295 NW Peacock Blvd
Port St Lucie, FL 34986

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

3810 Northdale Blvd
Ste 260
Tampa, FL 33624

4915 Ehrlich Rd
Tampa, FL 33624
Phone (813) 264-6334

3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784

15303 Amberly Dr
Ste C
Tampa, FL 33647

3657 Madaca Ln
Tampa, FL 33618

3609 Madaca Ln
Tampa, FL 33618
Phone (720) 253-3071

8029 Cooper Creek Blvd
Ste 104
University Park, FL 34201

16553 S US Highway 301
Wimauma, FL 33598

Interoperability endpoints

  • Direct secure messaging: loan.lam@uvvc.eclinicaldirectplus.com
  • Direct secure messaging: loan.lam.1@11709.direct.athenahealth.com
  • Direct secure messaging: drlam@direct.meditouchehr.com

Organizations & group practices 6

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 6

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1386866077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 AMBERLY DR STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472308",
            "telephone_number": "813-212-6517",
            "fax_number": "813-212-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 AMBERLY DR STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472308",
            "telephone_number": "813-212-6517",
            "fax_number": "813-212-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "LOAN",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "PO3302",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "PO3302",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOAN",
            "last_name": "LAM",
            "middle_name": "KIM",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.