Individual provider Active NPI

Kelvin N Lam, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Bellingham, WA
National Provider Identifier
1679589923
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD00048087 Issued in WA
Practice address
4545 Cordata Pkwy
Bellingham, WA 98226-7123
Phone
(360) 738-2200
Fax
(360) 752-5644
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220329 MA
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD00048087 WA Primary
Internal Medicine Physician 207R00000X MD00048087 WA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD00048087 WA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 6698 AK

Addresses

Primary practice location

4545 Cordata Pkwy
Bellingham, WA 98226-7123

Mailing address

PO Box 5096
Bellingham, WA 98227-5096
Phone (360) 738-2200

Other identifiers 6

IdentifierTypeStateIssuer
MD1128WMedicaidAK
0230374OtherWAL&I AND CRIME VICTIMS
4439LAOtherWAREGENCE
7379892OtherWAAETNA
1679589923MedicaidWA
8482556MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070803000533 WA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 8921056565 Reassigns benefits to 2 organizations
I20100730000308 AK Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 8921056565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
Saint Louis University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical Group - Sedro WoolleyGroup PAC ID 1456584036, 55 clinicians
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

1990 Hospital Dr
Suite 100
Sedro Woolley, WA 98284-9315
Phone (360) 856-4141

2980 Squalicum Pkwy
Suite 301
Bellingham, WA 98225-1880
Phone (360) 788-6112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220329MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Internal Medicine CurrentSince Jun 1, 2008 Accepting new patients
Peacehealth Medical Group - Sedro Woolley CurrentSince Sep 23, 2018 Accepting new patients
Peacehealth CurrentSince Jun 1, 2008 Accepting new patients
Peacehealth Internal Medicine CurrentSince May 16, 2010 Accepting new patients
Peacehealth Past Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

2980 Squalicum Pkwy
Ste 301
Bellingham, WA 98225
Phone (360) 671-4944

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

4545 Cordata Pkwy
Ste 1A
Bellingham, WA 98226
Phone (360) 733-7687

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

4545 Cordata Pkwy
Bellingham, WA 98226
Phone (360) 752-5646

835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641

1990 Hospital Dr
Ste 100
Sedro Woolley, WA 98284
Phone (360) 856-4141

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: klam4228@direct.peacehealth.org

Organizations & group practices 5

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 6

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1679589923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5096",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982275096",
            "telephone_number": "360-738-2200",
            "fax_number": "360-752-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CORDATA PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267123",
            "telephone_number": "360-738-2200",
            "fax_number": "360-752-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "KELVIN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "220329",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD00048087",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00048087",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD00048087",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AK",
            "license": "6698",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1128W",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0230374",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "4439LA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7379892",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679589923",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8482556",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.