Individual provider Active NPI

Laurance W Kam, MD

  • Cardiovascular Disease Physician
  • Annandale, VA
National Provider Identifier
1801956495
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101232306 Issued in VA
Practice address
6715 Little River Tpke Ste 300
Annandale, VA 22003-3546
Phone
(703) 751-6668
Fax
(703) 642-1049
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101232306 VA Primary

Addresses

Primary practice location

6715 Little River Tpke Ste 300
Annandale, VA 22003-3546

Mailing address

6715 Little River Tpke Ste 300
Annandale, VA 22003-3546
Phone (703) 751-6668

Other practice location 1

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

Other practice location 2

3300 Gallows Rd
Falls Church, VA 22042-3300
Phone (703) 504-3000

Other identifiers 3

IdentifierTypeStateIssuer
114451OtherVAANTHEM
010062730MedicaidVA
J4230003OtherCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040330001493 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567454770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Specialists of VirginiaGroup PAC ID 7517959711, 2 clinicians

Practice addresses (Care Compare)

6715 Little River Tpke
Suite 300
Annandale, VA 22003-3546
Phone (703) 751-6668

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score
95.64 of 100Reported as individual
Quality
98.71
Promoting interoperability
100
Improvement activities
40
Cost
86.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101232306VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of Virginia Cardiovascular Disease CurrentSince Apr 16, 2004 Accepting new patients
Inova Health Care Services CurrentSince Apr 14, 2011 Accepting new patients
Inova Health Care Services CurrentSince Apr 14, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Virginia Cardiology, PC Cardiovascular Disease Past Accepting new patients

Locations

4660 Kenmore Ave
Ste 800
Alexandria, VA 22304
Phone (703) 461-8686

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

6715 Little River Tpke
Ste 300
Annandale, VA 22003
Phone (703) 461-8686

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: laurance.kam.1@3434.direct.athenahealth.com

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 3

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1801956495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 LITTLE RIVER TPKE STE 300",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033546",
            "telephone_number": "703-751-6668",
            "fax_number": "703-642-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 LITTLE RIVER TPKE STE 300",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033546",
            "telephone_number": "703-751-6668",
            "fax_number": "703-642-1049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Seminary Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041535",
            "country_code": "US",
            "telephone_number": "703-504-3000",
            "fax_number": "703-504-3388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423300",
            "country_code": "US",
            "telephone_number": "703-504-3000",
            "fax_number": "703-504-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAM",
        "first_name": "LAURANCE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101232306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "114451",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010062730",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "J4230003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.