Active NPI
Diane Lau Lum, M.D.
- Internal Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E1289
- Practice address
- 6005 Park Ave Ste 200
Memphis, TN 38119-5212 - Phone
- (901) 761-2100
- NPI assigned
- Jan 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29884 | TN | |
| Internal Medicine Physician | 207R00000X | E1289 | AR | Primary |
Addresses
Primary practice location
6005 Park Ave Ste 200
Memphis, TN 38119-5212
Mailing address
228 W Tyler Ave
Suite 200
West Memphis, AR 72301-4223
Phone (870) 735-1973
Other practice location 1
228 W Tyler Ave
Suite 200
West Memphis, AR 72301-4223
Phone (870) 735-1973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131640001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6005 Park Ave
Suite 200
Memphis, TN 38119-5212
Phone (901) 761-2100
Hospital & facility affiliations
- Amedisys Home Care
- Beacon Home Health
- St Francis Hospital
- Methodist Hospitals of Memphis
- Baptist Memorial Hospital
- Saint Francis Bartlett Medical Center
- Methodist Healthcare - Olive Branch Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29884 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Blakney | Internal Medicine | Current | Accepting new patients |
| Saint Francis Physician Network, LLC | Current | Accepting new patients | |
| Saint Francis-Arkansas Physician Network, LLC | Current | Accepting new patients | |
| Internal Medicine Assoc. of West Memphis | Internal Medicine | Current | Accepting new patients |
| Crittenden Cares, Inc | Past | Accepting new patients |
Locations
310 Judge Smith Dr
Marion, AR 72364
Phone (870) 735-4025
300 S Rhodes St
West Memphis, AR 72301
Phone (870) 400-0433
228 W Tyler Ave
Ste 200
West Memphis, AR 72301
Phone (501) 735-1973
6005 Park Ave
Ste 200
Memphis, TN 38119
Phone (901) 761-2100
6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205
6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991
452 Perkins Ext
Memphis, TN 38117
Phone (901) 730-8300
Interoperability endpoints
- diane.lum.1@16700.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.
-
- Family Medicine Physician
- Covington, TN
- NPI 1295258002
-
- Family Medicine Physician
- West Memphis, AR
- NPI 1497278204
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1063608966
-
- Internal Medicine Physician
- West Memphis, AR
- NPI 1932168168
-
- Physiological Laboratory
- West Memphis, AR
- NPI 1952346041
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Memphis, TN
- NPI 1114975539
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1952326977
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
-
- Home Health Agency
- Memphis, TN
- NPI 1629018999
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1821077975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 W TYLER AVE",
"address_2": "SUITE 200",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014223",
"telephone_number": "870-735-1973",
"fax_number": "870-735-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 PARK AVE STE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195212",
"telephone_number": "901-761-2100"
}
],
"practiceLocations": [
{
"address_1": "228 W Tyler Ave",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "West Memphis",
"state": "AR",
"postal_code": "723014223",
"country_code": "US",
"telephone_number": "870-735-1973",
"fax_number": "870-735-5433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUM",
"first_name": "DIANE",
"middle_name": "LAU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "29884",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E1289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131640001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.