Individual provider Active NPI

Zachary Christopher Lum, DO

  • Orthopaedic Surgery Physician
  • Pembroke Pines, FL
National Provider Identifier
1962778597
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS17663 Issued in FL
Practice address
17842 NW 2ND St
Pembroke Pines, FL 33029-2806
Phone
(954) 430-9901
Fax
(954) 430-0608
NPI assigned
Mar 28, 2012
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS17663 FL Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X OS17663 FL

Addresses

Primary practice location

17842 NW 2ND St
Pembroke Pines, FL 33029-2806

Mailing address

1608 Town Center Blvd Ste a
Weston, FL 33326-3639
Phone (954) 349-2345

Other practice location 1

220 SW 84th Ave Ste 102
Plantation, FL 33324-2729
Phone (954) 720-1530

Other practice location 2

1600 Town Center Blvd Ste C
Weston, FL 33326-3641
Phone (954) 389-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170802002148 CA Practitioner - Orthopedic Surgery 4688945132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1535 River Park Dr
Suite 2000
Sacramento, CA 95815-4601
Phone (916) 286-1080

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

4860 Y St
Sacramento, CA 95817-2307

4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525

4868 X St
Sacramento, CA 95817-2205

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement46
Knee replacement57
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13186CAMDMental Health Counselor
OS17663FLMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 22, 2018 Accepting new patients
Regents of the University of California CurrentSince Sep 10, 2018 Accepting new patients
Regents of the University of California CurrentSince Sep 10, 2018 Accepting new patients
Foot Ankle & Leg Specialists of South Florida Inc PastSince Apr 15, 2021 Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

9390 Big Horn Blvd
Ste 120
Elk Grove, CA 95758

3850 G St
Merced, CA 95340
Phone (209) 384-6528

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

10850 White Rock Rd
Rancho Cordova, CA 95670

1535 River Park Dr
Ste 2000
Sacramento, CA 95815
Phone (916) 286-1010

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1962778597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 TOWN CENTER BLVD STE A",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263639",
            "telephone_number": "954-349-2345",
            "fax_number": "954-349-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17842 NW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292806",
            "telephone_number": "954-430-9901",
            "fax_number": "954-430-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 SW 84th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242729",
            "country_code": "US",
            "telephone_number": "954-720-1530",
            "fax_number": "954-720-6540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Town Center Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263641",
            "country_code": "US",
            "telephone_number": "954-389-5900",
            "fax_number": "954-389-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUM",
        "first_name": "ZACHARY",
        "middle_name": "CHRISTOPHER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS17663",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "OS17663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.