Individual provider Active NPI

Lam Alexander Au, M.D.

  • Internal Medicine Physician
  • Village of Palmetto Bay, FL
National Provider Identifier
1457425423
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0044386 Issued in FL
Practice address
9275 SW 152ND St
Suite 108a
Village of Palmetto Bay, FL 33157-1701
Phone
(305) 255-2505
Fax
(305) 254-8822
NPI assigned
Nov 20, 2006
Last updated
Jan 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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 ME0044386 FL Primary

Addresses

Primary practice location

9275 SW 152ND St
Suite 108a
Village of Palmetto Bay, FL 33157-1701

Mailing address

9275 SW 152ND St
Suite 108a
Village of Palmetto Bay, FL 33157-1701
Phone (305) 255-2505

Other identifiers 2

IdentifierTypeStateIssuer
049-4917-00MedicaidFL
34023OtherFLBCBS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120829000381 FL Practitioner - Internal Medicine 2264689090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9275 SW 152ND St
Suite 108a
Palmetto Bay, FL 33157-1773
Phone (305) 255-2505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0044386FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lam a, Au, M.D., PH.D., P.a. Internal Medicine CurrentSince Jul 9, 1984 Accepting new patients

Locations

9275 SW 152nd St
Ste 108A
Palmetto Bay, FL 33157
Phone (305) 255-2505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1457425423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "SUITE 108A",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-255-2505",
            "fax_number": "305-254-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "SUITE 108A",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-255-2505",
            "fax_number": "305-254-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AU",
        "first_name": "LAM",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0044386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049-4917-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "34023",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Village of Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.