Individual provider Active NPI

Diana Lam, PA-C

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1790262392
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006216 Issued in VA
Practice address
2800 Eisenhower Ave Ste 200
Alexandria, VA 22314-5210
Phone
(703) 562-9220
Fax
(703) 520-7745
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110006216 VA Primary

Addresses

Primary practice location

2800 Eisenhower Ave Ste 200
Alexandria, VA 22314-5210

Mailing address

11350 McCormick Rd
Executive Plaza 1, Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180816002925 DC Practitioner - Physician Assistant 4082963525 Reassigns benefits to 1 organization
I20180913002743 VA Practitioner - Physician Assistant 4082963525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

2800 Eisenhower Ave
Suite 200
Alexandria, VA 22314-5210
Phone (703) 562-9220

2960 Sleepy Hollow Rd
Falls Church, VA 22044-2030
Phone (703) 536-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110006216VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: diana.lam@insneurology.directbygreenway.com

Organizations & group practices 2

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1790262392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, STE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 EISENHOWER AVE STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145210",
            "telephone_number": "703-562-9220",
            "fax_number": "703-520-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "DIANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.