AETHERUS WOUND AND LYMPHATICS PLLC
NPI 1770413445
General Practice in Tampa, FL
About Aetherus Wound And Lymphatics Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AETHERUS WOUND AND LYMPHATICS PLLC (NPI 1770413445) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since May 2026. The organization lists Loan Lam, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aetherus Wound And Lymphatics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Aetherus Wound And Lymphatics PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Aetherus Wound And Lymphatics PLLC's NPI number?
The NPI number for Aetherus Wound And Lymphatics PLLC is 1770413445. It was assigned to this organization in the NPPES registry on May 22, 2026.
Where is Aetherus Wound And Lymphatics PLLC located?
Aetherus Wound And Lymphatics PLLC is located at 15310 Amberly Dr Ste 195, Tampa, FL 33647. The listed phone number is (813) 212-6517.
What is Aetherus Wound And Lymphatics PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Aetherus Wound And Lymphatics PLLC enrolled in Medicare?
Yes. Aetherus Wound And Lymphatics PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aetherus Wound And Lymphatics PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Aetherus Wound And Lymphatics PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Aetherus Wound And Lymphatics PLLC was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Aetherus Wound And Lymphatics Pllc · NPI 1770413445
General Practice organization in Tampa, Florida. Organization record, active in the CMS NPPES registry since May 22, 2026.
## Identity
- **NPI:** 1770413445 (Entity type: Organization)
- **Enumerated:** May 22, 2026
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Loan Lam, OWNER
## Practice location
- **Address:** 15310 AMBERLY DR STE 195, Tampa, FL 33647-1646
- **Phone:** (813) 212-6517
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770413445) · Data from the CMS NPPES public registry.