Organization Active NPI

Quynh Lam M.D. PLLC

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1467812586
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
P5543 Issued in TX
Legal business name
QUYNH LAM M.D. PLLC
Practice address
10080 Bellaire Blvd Ste 108
Houston, TX 77072-5429
Phone
(832) 230-5139
Fax
(832) 770-4902
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Dr. Quynh Nhu Lam, M.D.NPI 1235373804
Title
Physician
Phone
(832) 230-5139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X P5543 TX Primary

Addresses

Primary practice location

10080 Bellaire Blvd Ste 108
Houston, TX 77072-5429

Mailing address

10080 Bellaire Blvd Ste 108
Houston, TX 77072-5429

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address quynh.lam@qlmd.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161208001560 TX Part B Supplier - Clinic/Group Practice 4385924364 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

10080 Bellaire Blvd
Ste 108
Houston, TX 77072
Phone (832) 230-5139

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1467812586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10080 BELLAIRE BLVD STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 BELLAIRE BLVD STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725429",
            "telephone_number": "832-230-5139",
            "fax_number": "832-770-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUYNH LAM M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "QUYNH",
        "authorized_official_middle_name": "NHU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-230-5139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P5543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "quynh.lam@qlmd.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10080 Bellaire Blvd Ste 108",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770725429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.