JASON KHOA LAM DO
NPI 1861837338
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since May 09, 2013PECOS EnrolledAccepts Medicare Assignment
1402 S GRAND BLVD RM 157, SAINT LOUIS, MO 63104(314) 977-8887 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2021, Mar 17, 2018, Oct 31, 2017 (3 updates tracked since 2017).

About Jason Khoa Lam Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON KHOA LAM DO (NPI 1861837338) is an individual student in an organized health care education/training program in Saint Louis, Missouri, licensed in Missouri (2017011857) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kalamazoo, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1861837338
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJASON KHOA LAMCredential: DO
Location Address1402 S GRAND BLVD RM 157Saint Louis, MO 63104-1004
Mailing Address1402 S Grand Blvd Rm 157Saint Louis, MO 63104-1004 · (314) 977-8887
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 9, 2013
Last NPPES UpdateDecember 6, 20213 updates tracked since enumeration
NPI 1861837338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
Licenses Licensed in MO · 2017011857 Licensed in MI · 5101020471
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101020471 (MI)
Also ListedPediatricsTaxonomy 208000000X · License 5101020471 (MI)
1402 S GRAND BLVD RM 157, Saint Louis, MO 63104

Secondary Practice Location 1

Location 11000 Oakland DrKalamazoo, MI 49008-1282 · Phone (269) 337-4400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jason Khoa Lam Do 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.

PECOS PAC ID5092946640
PECOS Enrollment IDI20200122002615
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jason Lam's NPI number?

The NPI number for Jason Lam is 1861837338. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Where is Jason Lam located?

Jason Lam practices at 1402 S Grand Blvd Rm 157, Saint Louis, MO 63104. The listed phone number is (314) 977-8887.

What is Jason Lam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jason Lam enrolled in Medicare?

Yes. Jason Lam 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.

When was this NPI record last updated?

The NPPES record for Jason Lam was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.