Individual provider Active NPI

Si Tien Lam, DO

  • Family Medicine Physician
  • Feasterville Trevose, PA
National Provider Identifier
1992192744
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS018519 Issued in PA
Practice address
23 Bustleton Pike Ste 200
Feasterville Trevose, PA 19053-6446
Phone
(215) 464-0770
Fax
(267) 579-0720
NPI assigned
Apr 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS018519 PA Primary

Addresses

Primary practice location

23 Bustleton Pike Ste 200
Feasterville Trevose, PA 19053-6446

Mailing address

1648 Huntingdon Pike
Medical Staff Office 1St FLR
Meadowbrook, PA 19046-8001
Phone (215) 938-3450

Other practice location 1

295 Buck Rd Ste 111
Holland, PA 18966-1749
Phone (215) 464-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180628000434 PA Practitioner - Family Practice 6406102888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

23 Bustleton Pike
Feasterville Trevose, PA 19053-6446
Phone (215) 464-0770

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Jul 23, 2018 Accepting new patients
HR Physician Services CurrentSince Jul 23, 2018 Accepting new patients
HR Physician Services Current Accepting new patients
HR Physician Services Past Accepting new patients
HR Physician Services Past Accepting new patients

Locations

23 Bustleton Pike
Ste 200
Feasterville Trevose, PA 19053
Phone (215) 464-0770

23 Bustleton Pike
Ste 200A
Feasterville Trevose, PA 19053
Phone (215) 464-0770

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Ofc 1ST
Meadowbrook, PA 19046

1648 Huntingdon Pike
Ofc First
Meadowbrook, PA 19046
Phone (215) 938-3450

295 Buck Rd
Ste 111
Southampton, PA 18966
Phone (215) 464-0770

Interoperability endpoints

  • Direct secure messaging: si.tien.lam.1@17399.direct.athenahealth.com

Organizations & group practices 5

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1992192744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "address_2": "MEDICAL STAFF OFFICE 1ST FLR",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-3450",
            "fax_number": "215-938-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BUSTLETON PIKE STE 200",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536446",
            "telephone_number": "215-464-0770",
            "fax_number": "267-579-0720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Buck Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "PA",
            "postal_code": "189661749",
            "country_code": "US",
            "telephone_number": "215-464-0770",
            "fax_number": "267-579-0720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "SI",
        "middle_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2021-07-07",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

Verify at the official NPI Registry.