Active NPI
Kim Tuyen Bui Lam, DO
- Anesthesiology Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 304637
- Practice address
- 12 Cornell Dr
Great Neck, NY 11020-1125 - Phone
- (917) 412-4965
- NPI assigned
- Apr 4, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 304637 | NY | Primary |
Addresses
Primary practice location
12 Cornell Dr
Great Neck, NY 11020-1125
Mailing address
12 Cornell Dr
Great Neck, NY 11020-1125
Phone (917) 412-4965
Other names 1
- Kim Tuyen Bui Lam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Anesthesiology Associates of Boro Park, LLP | Anesthesiology | Current | Accepting new patients |
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| American Anesthesia Business Partners, LLP | Past | Accepting new patients | |
| Aabp LLC | Anesthesiology | Past | Accepting new patients |
| Maimonides Department of Psychiatry FPP | Past | Accepting new patients |
Locations
4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163
931 48th St
Brooklyn, NY 11219
Phone (718) 283-8092
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- kimtuyenlam@mai.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1518912302
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1164398442
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1376656710
-
- Anesthesiology Physician
- Englewood Cliffs, NJ
- NPI 1518330638
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1952764185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CORNELL DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110201125",
"telephone_number": "917-412-4965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CORNELL DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110201125",
"telephone_number": "917-412-4965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "KIM TUYEN",
"middle_name": "BUI",
"name_prefix": "Ms.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "304637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIM TUYEN",
"last_name": "LAM",
"middle_name": "BUI",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.