Individual provider Active NPI

Bao Lam, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1982064937
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP130472 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone
(214) 648-6400
Fax
(214) 648-5461
NPI assigned
Mar 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP130472 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (469) 291-3369

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 648-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314000126 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870899156 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Allied Anesthesia, PLLCGroup PAC ID 1052698172, 23 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

Richardson, TX 75080
Phone (214) 660-5266

1105 Central Expy N
Suite 2100
Allen, TX 75013-6120
Phone (888) 324-7432

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP130472TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Allied Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2017 Accepting new patients
Trident Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2019 Accepting new patients
Southwest Anesthesiology Consultants PLLC CurrentSince Sep 18, 2019 Accepting new patients
Orthomed Staffing LLC CurrentSince May 2, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Nurse Anesthetist, Certified Registered CurrentSince Jun 4, 2018 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 4, 2018 Accepting new patients
Miller-Franklin Limited Liability Partnership Nurse Anesthetist, Certified Registered CurrentSince Mar 27, 2018 Accepting new patients
Mesquite Professional Anesthesia, PA CurrentSince May 1, 2021 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2017 Accepting new patients
Colorectal Associates of Texas PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1105 Central Expy N
Ste 2100
Allen, TX 75013
Phone (972) 747-6401

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

411 Central Park Dr
Arlington, TX 76014
Phone (817) 784-8300

800 W Arbrook Blvd
Ste 120
Arlington, TX 76015
Phone (817) 468-4343

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

3920 W Wheatland Rd
Ste 108
Dallas, TX 75237
Phone (214) 948-7779

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

12610 E Northwest Hwy
Dallas, TX 75228
Phone (214) 946-5165

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

221 W Colorado Blvd
Ste 625
Dallas, TX 75208
Phone (214) 943-8605

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100

4510 Medical Center Dr
McKinney, TX 75069
Phone (214) 491-6365

3865 Childress Ave
Mesquite, TX 75150
Phone (972) 528-6090

2905 Pine Mill Rd
Paris, TX 75460
Phone (903) 272-9924

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

2435 N Central Expy
Ste 1200
Richardson, TX 75080
Phone (214) 442-1900

7201 Wyoming Springs Dr
Ste 100
Round Rock, TX 78681
Phone (817) 727-0985

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16703/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1982064937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "469-291-3369",
            "fax_number": "214-645-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-648-6400",
            "fax_number": "214-648-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-648-6400",
            "fax_number": "214-648-5461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "BAO",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP130472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.