Shiva Kumar Lam, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K4933 Issued in TX

Practice address

1407 W Stassney LN
Austin, TX 78745-2947

Phone

(512) 440-4800

Fax

(512) 440-4836

NPI assigned

Nov 2, 2006

Last updated

Sep 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shiva Kumar Lam, MD, PA

  • Child & Adolescent Psychiatry Physician
  • Austin, TX
  • NPI 1023311321
  Medicare reassignment NPD
• Alta Loma, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Georgetown, TX
  • NPI 1114564713
  NPD (past)
• Neuro Institute of Austin LP

  dba Texas NeuroRehab Center

  • Long Term Care Hospital
  • Austin, TX
  • NPI 1760482939
  NPD (past)
• Texas Oaks Psychiatric Hospital, LP

  dba Austin Oaks Hospital

  • Psychiatric Hospital
  • Austin, TX
  • NPI 1578809505
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1871671032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787550100",
            "telephone_number": "512-467-2840",
            "fax_number": "512-692-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W STASSNEY LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452947",
            "telephone_number": "512-440-4800",
            "fax_number": "512-440-4836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8402 Cross Park Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787544595",
            "country_code": "US",
            "telephone_number": "512-215-3900",
            "fax_number": "512-215-3190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787052714",
            "country_code": "US",
            "telephone_number": "512-544-5253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "SHIVA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K4933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB144749",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305165802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB144748",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305165801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096990902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Quyen Lam, DO
• Christoffer Lam, MD
• Halie Pham Lam
• Leanne T Lam, MD
• Lisa Terrance Lam, NP
• Tracy Rodriguez Lama-Briseno, D.O.
• Daniel Jon Lamanna, MSN-APRN-PMHNP
• Lamar Dental Center
• Lamar Plaza Drug Store la&B, LLC (Lamar Plaza Drug Store Long-Term Care)
• Lamar Plaza Drug Store la&B, LLC (Lamar Plaza Drug Store)

• Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.

Verify at the official NPI Registry.