Individual provider Active NPI

Waiho Lum, M.D.

  • Emergency Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1609837384
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
202905 Issued in NY
Practice address
11201 75TH Ave
Forest Hills, NY 11375-5633
Phone
(718) 268-6808
Fax
(718) 268-6858
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 202905 NY Primary

Addresses

Primary practice location

11201 75TH Ave
Forest Hills, NY 11375-5633

Mailing address

11201 75TH Ave
Forest Hills, NY 11375-5633
Phone (718) 268-6808

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000114 NY Practitioner - Emergency Medicine 3971537804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waiho Lum MD PLLCGroup PAC ID 1557453834, 2 clinicians

Practice addresses (Care Compare)

1636 E 23Rd St
Brooklyn, NY 11229-1519
Phone (212) 734-6621

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waiho Lum MD PLLC CurrentSince Jul 1, 2007 Accepting new patients
Urgent Care Medical, P.C. PastSince Jul 1, 2007 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Emergency Medicine Physicians of Fairfield County, LLC Emergency Medicine Past Accepting new patients
Trustees of Columbia University in the City of New York Emergency Medicine Past Accepting new patients
Montefiore Medical Center Emergency Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1609837384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 75TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755633",
            "telephone_number": "718-268-6808",
            "fax_number": "718-268-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 75TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755633",
            "telephone_number": "718-268-6808",
            "fax_number": "718-268-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "WAIHO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "202905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.