Individual provider Active NPI

Frederick Anthony Kam Jr., M.D.

  • Internal Medicine Physician
  • Auburn University, AL
National Provider Identifier
1841264231
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20353 Issued in AL
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

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51501390OtherALBLUECROSSBLUESHIELD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215002272 AL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9234573437

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20353ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.