Individual provider Active NPI

Timothy Gary Lam, DPM

  • Primary Podiatric Medicine Podiatrist
  • Schenectady, NY
National Provider Identifier
1407946601
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N005232 Issued in NY
Practice address
1610 Union St
Schenectady, NY 12309-6113
Phone
(518) 370-3668
Fax
(518) 370-7162
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Medicine Podiatrist 213EP0504X N005232 NY
Primary Podiatric Medicine Podiatrist 213EP1101X N005232 NY Primary
Foot Surgery Podiatrist 213ES0131X N005232 NY

Addresses

Primary practice location

1610 Union St
Schenectady, NY 12309-6113

Mailing address

1610 Union St
Schenectady, NY 12309-6113
Phone (518) 370-3668

Other identifiers 2

IdentifierTypeStateIssuer
01619667MedicaidNY
U59439OtherNYUPIN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000126 NY Practitioner - Podiatry 5496735029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1610 Union St
Schenectady, NY 12309-6113
Phone (518) 370-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of skin lesions31
Removal of nail tissue1457
Removal or shaving of skin growth106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005232NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lam Family Foot Care, PLLC Public Medicine CurrentSince Apr 29, 2005 Accepting new patients
Paul H Baumgarten Past Accepting new patients
Hariett B. Levinson DPM PC PastSince Apr 29, 2005 Accepting new patients
Paul H Baumgarten DPM Past Accepting new patients

Locations

1610 Union St
Schenectady, NY 12309
Phone (518) 370-3668

Organizations & group practices 4

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 1

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1407946601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123096113",
            "telephone_number": "518-370-3668",
            "fax_number": "518-370-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123096113",
            "telephone_number": "518-370-3668",
            "fax_number": "518-370-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "TIMOTHY",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "NY",
            "license": "N005232",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N005232",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01619667",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U59439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.