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BEVERLY LUM
NPI 1912506262
Physician Assistant in Bronx, NY

Active since October 19, 2020PECOS Enrolled
100/100
CMS Quality Rating
1250 WATERS PL, BRONX, NY 10461(718) 920-2060 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2022, Oct 19, 2020 (2 updates tracked since 2020).

About Beverly Lum NPPES

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

BEVERLY LUM (NPI 1912506262) is an individual physician assistant in Bronx, New York and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Mercy College (2020).

NPPES Registry Identity

NPI1912506262
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBEVERLY LUM
Location Address1250 WATERS PLBronx, NY 10461-2720
Mailing Address1250 Waters PlBronx, NY 10461-2720
Phone(718) 920-2060
Sole ProprietorYes
Medical School CMSMercy CollegeGraduated 2020
Enumeration DateOctober 19, 2020
Last NPPES UpdateOctober 14, 20222 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1912506262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1250 WATERS PL, Bronx, NY 10461
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly Lum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466855952
PECOS Enrollment IDI20210721001499
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.

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

DR. LYDIA RABINOWICH M.D.
Psychiatry & Neurology (Neurology)
1250 WATERS PL, SUITE 1203
BRONX, NY 10461
Bronx County (718) 409-4044
MIRA CHANOWITZ DPT
Physical Therapist
1250 WATERS PL
BRONX, NY 10461
Bronx County (718) 409-9444
DR. CECILIA YAQIAN ZHANG PHARMD
Pharmacist
1250 WATERS PL, TOWER 1, SUITE 602
BRONX, NY 10461
Bronx County (718) 239-1492
CENTERLIGHT DIAGNOSTIC AND TREATMENT CENTER, INC.
Clinic/Center
1250 WATERS PL, TOWER 1 SUITE 602
BRONX, NY 10461
Bronx County (347) 640-6050
MS. DENISE A FORBES FNP
Nurse Practitioner (Family)
1250 WATERS PL
BRONX, NY 10461
Bronx County (929) 263-3828
MIRZA BAIG PT
Physical Therapist
1250 WATERS PL
BRONX, NY 10461
Bronx County (718) 430-9313
DR. DAVID M.S. SHEIN M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1250 WATERS PL, SUITE 903
BRONX, NY 10461
Bronx County (718) 450-9955
CECILIA ANN MARTIN
Registered Nurse (Ambulatory Care)
1250 WATERS PL
BRONX, NY 10461
Bronx County (929) 263-3302

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 Beverly Lum's NPI number?

The NPI number for Beverly Lum is 1912506262. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Where is Beverly Lum located?

Beverly Lum practices at 1250 Waters Pl, Bronx, NY 10461. The listed phone number is (718) 920-2060.

What is Beverly Lum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Beverly Lum enrolled in Medicare?

Yes. Beverly Lum is registered in the Medicare PECOS enrollment system.

Is Beverly Lum affiliated with any hospitals?

According to CMS data, Beverly Lum is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Beverly Lum was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.