Individual provider Active NPI

Jimmy J.S. Lau, MD

  • Anesthesiology Physician
  • Destin, FL
National Provider Identifier
1821062274
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME105422 Issued in FL
Practice address
325 Tequesta Dr
Destin, FL 32541-5715
Phone
(210) 488-8203
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME105422 FL Primary

Addresses

Primary practice location

325 Tequesta Dr
Destin, FL 32541-5715

Mailing address

325 Tequesta Dr
Destin, FL 32541-5715

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
I20100129000690 FL Practitioner - Anesthesiology 2860493160 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Destin Anesthesia, LLCGroup PAC ID 9830158500, 20 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

1034 Mar Walt Dr
Suite 300
Fort Walton Beach, FL 32547-6645
Phone (850) 315-9385

1225 Airport Rd
Destin, FL 32541-2909
Phone 8506507606103

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Destin Anesthesia, LLC Anesthesiology CurrentSince Aug 30, 2021 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Aug 30, 2021 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Mar 12, 2021 Accepting new patients
Twin Cities Anesthesia Associates, PL Anesthesiology CurrentSince Jun 1, 2013 Accepting new patients
St Lucie Anesthesia Associates LLC Anesthesiology CurrentSince Aug 6, 2017 Accepting new patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Jun 19, 2023 Accepting new patients
St. Lucie Anesthesia Associates, LLC Anesthesiology CurrentSince Aug 6, 2017 Accepting new patients
Clinical Partners PA Anesthesiology Past Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

1225 Airport Rd
Destin, FL 32541
Phone (850) 650-7606

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1034 Mar Walt Dr
Unit 300
Ft Walton Bch, FL 32547
Phone (850) 315-9363

995 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-7887

1040 Gulf Breeze Pkwy
Ste 100
Gulf Breeze, FL 32561
Phone (850) 916-8500

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

2190 Highway 85 N
Niceville, FL 32578
Phone (850) 678-4131

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

266 NW Peacock Blvd
Ste 205
Port St Lucie, FL 34986
Phone (772) 446-4833

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

Organizations & group practices 9

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1821062274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 TEQUESTA DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 TEQUESTA DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415715",
            "telephone_number": "210-488-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "JIMMY",
        "middle_name": "J.S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME105422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.