Active NPI
Frederick Anthony Kam Jr., M.D.
- Internal Medicine Physician
- Auburn University, AL
National Provider Identifier
1841264231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20353
- Practice address
- 400 Lem Morrison Drive
Auburn University, AL 36849-0001 - Phone
- (334) 844-4416
- Fax
- (334) 844-6126
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20353 | AL | Primary |
Addresses
Primary practice location
400 Lem Morrison Drive
Auburn University, AL 36849-0001
Mailing address
PO Box 3476
Auburn, AL 36831-3476
Phone (334) 844-4416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51501390 | Other | AL | BLUECROSSBLUESHIELD OF AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240215002272 | AL | Order and Referring Only - Internal Medicine | 9234573437 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20353 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Alabama Campus Health, LLC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Auburn, AL
- NPI 1639323744
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": "1189641600000",
"number": "1841264231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3476",
"city": "AUBURN",
"state": "AL",
"postal_code": "368313476",
"telephone_number": "334-844-4416",
"fax_number": "334-844-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LEM MORRISON DRIVE",
"city": "AUBURN UNIVERSITY",
"state": "AL",
"postal_code": "368490001",
"telephone_number": "334-844-4416",
"fax_number": "334-844-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAM",
"first_name": "FREDERICK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "20353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD OF AL",
"identifier": "51501390",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn University, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.