MR. MONG THIEN LAM CRNA
NPI 1902121205
Nurse Anesthetist, Certified Registered in Greenville, SC

Q: What is Mong Lam's NPI number?

The NPI number for Mong Lam is 1902121205. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Q: What is Mong Lam's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Mong Lam was last updated on February 3, 2022. 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.

Active since March 30, 2010Accepts Medicare Assignment

7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615(864) 522-3700(803) 522-3705 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2022, Dec 27, 2019 (2 updates tracked since 2019).

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About Mr. Mong Thien Lam Crna NPPES

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

MR. MONG THIEN LAM CRNA (NPI 1902121205) is an individual nurse anesthetist, certified registered in Greenville, South Carolina, licensed in South Carolina (4258) and active in the NPI registry since March 2010. He is affiliated with Spartanburg Medical Center, maintains a secondary practice location in Greenville, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1902121205

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. MONG THIEN LAMCredential: CRNA

Location Address7 INDEPENDENCE PT STE 300Greenville, SC 29615-4569

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 522-3700

Fax(803) 522-3705

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 30, 2010

Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1902121205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in SC · 4258

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7 INDEPENDENCE PT STE 300, Greenville, SC 29615

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Secondary Practice Location 1

Location 1701 Grove RdGreenville, SC 29605-4210 · Phone (864) 455-3076 · Fax (864) 455-4135

Other Identifiers 1

MedicaidAN2077SC

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

Mr. Mong Thien Lam Crna 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 ID3870626435

PECOS Enrollment IDI20100803000422

Medicare Billing Reassignments

Medicare enrollment records show Mong Lam reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health-Upstate

0.8 mi

Sleep Disorder Diagnostic

1025 VERDAE BLVD, SUITE D
Greenville, SC 29607

Reassigned Medicare billing, South Carolina enrollment
413 clinicians in this Medicare group

NPI 1275086431 (864) 455-7743

Gastroenterology Associates, PA

1.4 mi

Gastroenterology

125 HALTON ROAD, SUITE 200
Greenville, SC 29607

Reassigned Medicare billing, South Carolina enrollment
112 clinicians in this Medicare group

NPI 1487684031 (864) 232-7338

Spartanburg Regional Med Ctr

1.7 mi

Maternal & Fetal Medicine

373 HALTON RD
Greenville, SC 29607

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Spartanburg Medical Center
Also billed through NPI 1700176054 (South Carolina), NPI 1467407536 (South Carolina)
814 clinicians in this Medicare group

NPI 1922243674 (864) 331-3230

Pelham Medical Center

5.1 mi

Cardiovascular Disease

250 WESTMORELAND RD
Greer, SC 29651

Reassigned Medicare billing, South Carolina enrollment
179 clinicians in this Medicare group

NPI 1962644773 (864) 530-2108

Under Anesthesia

125 mi

Anesthesiology

420 W WESMARK BLVD
Sumter, SC 29150

Reassigned Medicare billing, South Carolina enrollment
60 clinicians in this Medicare group

NPI 1194018242 (803) 905-5590

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for placement or revision of blood flow shunt 01844

Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.

25 services24 patients

Anesthesia for access to central vein 00532

Anesthesia for access to a central vein is a medical procedure where a numbing medication is used to minimize discomfort during the insertion of a long, thin tube into a large vein. This tube can be used to deliver medications, fluids, or to collect blood samples.

17 services17 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420103

Location250 Westmoreland RoadGreer, SC 29651 · Greenville County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PAUL DEREK STREET CRNA

Nurse Anesthetist, Certified Registered