Jacob W Lamb, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2004017476 Issued in MO

Practice address

3505 College Ave Ste B
Alton, IL 62002

Phone

(618) 462-9695

Fax

(618) 462-9651

NPI assigned

Jul 18, 2006

Last updated

Apr 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Next Step Foot and Ankle Centers, Inc.Group PAC ID 5395738207, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alton Memorial Hospital Hospital, Alton, IL, CCN 140002

Merit-based Incentive Payment System (MIPS)

Final score

84.29 of 100Reported as group

Promoting interoperability

79

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jakelamb7@nsfaaci-il.direct.office.nextgen.com
• Direct secure messaging: jlamb@usfas.emadirect.md

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.

• Next Step Foot and Ankle Centers, Inc

  • Podiatrist
  • Saint Louis, MO
  • NPI 1518938919

  Foot & Ankle Surgery, IL

  Medicare reassignment Care Compare group NPD
• Next Step Foot & Ankle Centers, Inc

  • Podiatrist
  • O'Fallon, IL
  • NPI 1356178610

  Foot & Ankle Surgery

  NPD
• Center for Advanced Foot & Ankle Surgery Inc

  dba MO Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
  • NPI 1174595409
  NPD (past)

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

• Alton Memorial Hospital

  • Ambulance
  • Alton, IL
  • NPI 1063669117

  Hospital

  Care Compare affiliation
• Alton Memorial Hospital

  • General Acute Care Hospital
  • Alton, IL
  • NPI 1548278476
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1699794206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 MATTIS RD STE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282250",
            "telephone_number": "314-909-1920",
            "fax_number": "314-909-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 COLLEGE AVE STE B",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "62002",
            "telephone_number": "618-462-9695",
            "fax_number": "618-462-9651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5139 Mattis Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282250",
            "country_code": "US",
            "telephone_number": "314-909-1920",
            "fax_number": "314-909-1980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3505 College Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "62002",
            "country_code": "US",
            "telephone_number": "618-462-9695",
            "fax_number": "618-462-9651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMB",
        "first_name": "JACOB",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005235",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2004017476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005235",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301122503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas P. Kummer, DDS
• Joshua Kutchma, PT
• Jenna Marie Kyriazes, MD
• Vasiliki Kytridou, D.D.S.
• Ari Samuel Lakritz, PSYD
• Bethany Lamie
• Martin F. Land, DDS, MSD
• Trevyn Landes, BA
• Jacqueline Lane-Leonard
• Kenneth Lane, LPC

• Foot & Ankle Surgery Podiatrist in Alton, IL
• Providers in Alton, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.