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DR. JAMES C LAI M.D.
NPI 1942291406
Anesthesiology - Addiction Medicine in Houston, TX

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
1140 BUSINESS CENTER DR, STE 580, HOUSTON, TX 77043(713) 467-6200(713) 467-6205 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James C Lai M.d. NPPES

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

DR. JAMES C LAI M.D. (NPI 1942291406) is an individual addiction medicine provider in Houston, Texas, licensed in Texas (2015263) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1990).

NPPES Registry Identity

NPI1942291406
Entity TypeIndividualMale
Primary Taxonomy207LA0401X
Provider Legal NameDR. JAMES C LAICredential: M.D.
Location Address1140 BUSINESS CENTER DR, STE 580Houston, TX 77043-2737
Mailing Address1140 Business Center Dr, Ste 580Houston, TX 77043-2737 · (713) 467-6200 · Fax (713) 467-6205
Phone(713) 467-6200
Fax(713) 467-6205
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1990
Enumeration DateNovember 3, 2005
Last NPPES UpdateMarch 19, 2018
✔ NPI 1942291406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LA0401X
License✔ Licensed in TX · 2015263
Definition
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License J0055 (TX)
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License J0055 (TX)
1140 BUSINESS CENTER DR, Houston, TX 77043
Open in Google Maps ↗

Other Identifiers 1

Medicaid085716101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.Insurance ›

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

Dr. James C 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.

PECOS PAC ID9830112044
PECOS Enrollment IDI20090320000070
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
181 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services31 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
52 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77043 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier26 claims26 services$51.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MEMORIAL ENDOCRINOLOGY AND DIABETES
Specialist
1140 BUSINESS CENTER DR, SUITE #550
HOUSTON, TX 77043
Harris County (713) 984-8200
DR. ATA T SALEK M.D.
Family Medicine
1140 BUSINESS CENTER DR, SUITE 200
HOUSTON, TX 77043
Harris County (713) 468-7911
SHIRAZ P DHANANI PA
Internal Medicine (Cardiovascular Disease)
1140 BUSINESS CENTER DR, SUITE 500
HOUSTON, TX 77043
Harris County (713) 973-7445
ABDULHADI MOHSIN AKHTAR MD
Urology
1140 BUSINESS CENTER DR
HOUSTON, TX 77043
Harris County (713) 932-1822
WM SERVICES, LTD
Specialist
1140 BUSINESS CENTER DR, SUITE 200
HOUSTON, TX 77043
Harris County (713) 461-2223
ALI AZIMPOOR M.D.
Neurological Surgery
1140 BUSINESS CENTER DR, SUITE 490
HOUSTON, TX 77043
Harris County (713) 932-1247
DR. RENE ANTHONY AMAYA MD
Pediatrics (Pediatric Infectious Diseases)
1140 BUSINESS CENTER DR, SUITE 300
HOUSTON, TX 77043
Harris County (713) 464-9776
MR. DONALD F GARDNER MD
Specialist
1140 BUSINESS CENTER DR, STE 550
HOUSTON, TX 77043
Harris County (713) 984-8200

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 James Lai's NPI number?

The NPI number for James Lai is 1942291406. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is James Lai located?

James Lai practices at 1140 Business Center Dr Ste 580, Houston, TX 77043. The listed phone number is (713) 467-6200.

What is James Lai's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Is James Lai enrolled in Medicare?

Yes. James 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.

What insurance does James Lai accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list James 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 James Lai was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.