NPIMap

Individual provider Active NPI

Gary B Lum, MD

  • Diagnostic Radiology Physician
  • Baton Rouge, LA
National Provider Identifier
1922097021
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
07125R Issued in LA
Practice address
8338 Summa Ave
Suite 100
Baton Rouge, LA 70809-3669
Phone
(225) 761-8988
Fax
(225) 761-8940
NPI assigned
Oct 20, 2005
Last updated
Mar 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 07125R LA Primary

Addresses

Primary practice location

8338 Summa Ave
Suite 100
Baton Rouge, LA 70809-3669

Mailing address

8338 Summa Ave
Suite 100
Baton Rouge, LA 70809-3669
Phone (225) 761-8988

Other identifiers 3

IdentifierTypeStateIssuer
1922097021MedicaidAL
00123432MedicaidMS
1359564MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Associates of Louisiana, Apm LLC Diagnostic Radiology Past Accepting new patients
Ryan N Majoria MD LLC Diagnostic Radiology Past Accepting new patients
Precision Radiology Management of Louisiana LLC Diagnostic Radiology Past Accepting new patients
Imaging Center of Meridian LLC Diagnostic Radiology Past Accepting new patients
Imaging Center of Louisiana LLC Diagnostic Radiology PastSince Jun 1, 2003 Accepting new patients
Open Air MRI of Troy LLC Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1922097021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 SUMMA AVE",
            "address_2": "SUITE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093669",
            "telephone_number": "225-761-8988",
            "fax_number": "225-761-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 SUMMA AVE",
            "address_2": "SUITE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093669",
            "telephone_number": "225-761-8988",
            "fax_number": "225-761-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "GARY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "07125R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922097021",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123432",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1359564",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.