Individual provider Active NPI

Allan Lam Ho, M.D.

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1760603369
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME124454 Issued in FL
Practice address
2407 W Cervantes St
Pensacola, FL 32505-7150
Phone
(850) 791-6200
Fax
(850) 791-6440
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME124454 FL Primary

Addresses

Primary practice location

2407 W Cervantes St
Pensacola, FL 32505-7150

Mailing address

2407 W Cervantes St
Pensacola, FL 32505-7150
Phone (850) 791-6200

Other identifiers 1

IdentifierTypeStateIssuer
010335000MedicaidFL

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
I20140213001310 FL Practitioner - Family Practice 9638308745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2407 W Cervantes St
Pensacola, FL 32505-7150
Phone (850) 791-6200

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Pensacola, FL, CCN 107423

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Medical Clinic, LLC CurrentSince Feb 1, 2014 Accepting new patients

Locations

2407 W Cervantes St
Pensacola, FL 32505
Phone (518) 867-1551

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1760603369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 W CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325057150",
            "telephone_number": "850-791-6200",
            "fax_number": "850-791-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 W CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325057150",
            "telephone_number": "850-791-6200",
            "fax_number": "850-791-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "ALLAN",
        "middle_name": "LAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME124454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010335000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.