ANTHONY R LAI M.D.
NPI 1609899392
Specialist in South Miami, FL
About Anthony R Lai M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHONY R LAI M.D. (NPI 1609899392) is an individual specialist in South Miami, Florida, licensed in Florida (ME40577) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1977).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Anthony R Lai M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Anthony Lai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Miami, FL 33143
- Reassigned Medicare billing, Florida enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
SOUTH MIAMI, FL 33143
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Anthony Lai's NPI number?
The NPI number for Anthony Lai is 1609899392. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Anthony Lai located?
Anthony Lai practices at 6200 Sunset Dr Suite 301, South Miami, FL 33143. The listed phone number is (305) 669-9521.
What is Anthony Lai's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Anthony Lai enrolled in Medicare?
Yes. Anthony Lai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Anthony Lai's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Lai reassigns Medicare benefits to South Florida Perinatal Medicine (South Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Lai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anthony Lai accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Anthony Lai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Anthony Lai was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Anthony R Lai, M.D. · NPI 1609899392
Specialist provider in South Miami, Florida. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1609899392 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** ME40577 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 6200 SUNSET DR, SUITE 301, South Miami, FL 33143-4828
- **Phone:** (305) 669-9521 · **Fax:** (305) 669-9735
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Florida Perinatal Medicine (NPI 1750494373, South Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Miami, Lm Miller School Of Medicine, class of 1977
## Record status
- **NPPES last updated:** July 16, 2008
- **Other identifiers:** Medicare UPIN D63858 (FL); Medicaid 069720600 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1609899392) · Data from the CMS NPPES public registry.