NPIMap

Individual provider Active NPI

Mindy E Lam, D.P.M.

  • Foot Surgery Podiatrist
  • Clifton Park, NY
National Provider Identifier
1417034232
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
006189 Issued in NY
Practice address
870 Route 146
Clifton Park, NY 12065-3818
Phone
(518) 371-7133
Fax
(518) 371-7135
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Public Medicine Podiatrist 213EP0504X 006189 NY
Primary Podiatric Medicine Podiatrist 213EP1101X 006189 NY
Radiology Podiatrist 213ER0200X 006189 NY
Sports Medicine Podiatrist 213ES0000X 006189 NY
Foot Surgery Podiatrist 213ES0131X 006189 NY Primary

Addresses

Primary practice location

870 Route 146
Clifton Park, NY 12065-3818

Mailing address

870 Route 146
Clifton Park, NY 12065-3818
Phone (518) 371-7133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070612000018 NY Practitioner - Podiatry 9830297068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

870 Route 146
Clifton Park, NY 12065-3818
Phone (518) 371-7133

Hospital & facility affiliations

  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions59
Removal of nail tissue795
Removal or shaving of skin growth298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006189NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Care of Clifton Park, PLLC Public Medicine CurrentSince Jun 4, 2009 Accepting new patients

Locations

870 Route 146
Clifton Park, NY 12065
Phone (518) 371-5955

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1417034232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653818",
            "telephone_number": "518-371-7133",
            "fax_number": "518-371-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653818",
            "telephone_number": "518-371-7133",
            "fax_number": "518-371-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "MINDY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "NY",
            "license": "006189",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "006189",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NY",
            "license": "006189",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "006189",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.