JOHN LUM PA-C
NPI 1528016441
Physician Assistant - Medical in Waterbury, CT
NPI Status: Active since May 04, 2006
Contact Information
1389 W MAIN ST
WATERBURY, CT
ZIP 06708
Phone: (203) 755-5555
Fax: (203) 573-8523
- Individual
- Male
- Physician Assistant
- Medical
- PECOS Enrolled
About JOHN LUM
This page provides the complete NPI Profile along with additional information for John Lum, a primary care provider established in Waterbury, Connecticut with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1528016441 assigned on May 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 000669 (CT). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1528016441
- Provider Name
- JOHN LUM PA-C
- Other Name
- JON LUM
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1389 W MAIN ST WATERBURY, CT 06708
- Location Phone
- (203) 755-5555
- Location Fax
- (203) 573-8523
- Mailing Address
- 1389 W MAIN ST WATERBURY, CT 06708
- Mailing Phone
- (203) 755-5555
- Mailing Fax
- (203) 573-8523
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-04-2006
- Last Update Date
- 12-22-2021
- Code Navigator
A primary care provider (PCP) like John Lum sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 1 Long Wharf Dr Ste 212
New Haven, CT 06511
(203) 624-4208
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 000669
- License State
- CT
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004085636 | MEDICAID (05) | CT |
Medicare Participation & PECOS Enrollment Status
John Lum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 0 | 1 | 6 | 4 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 0 | 1 | 12 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 0 + 1 + 1 + 2 + 4 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1528016441 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023085065 | DR. JUAN FICA M.D. Individual | Internal Medicine | 1389 W MAIN ST TOWER 2, SUITE 320 WATERBURY, CT 06708 (203) 753-9313 |
| 1376507301 | DR. DIANE LOUISE FOUNTAS M.D. Individual | Pediatrics (Adolescent Medicine) | 1389 W MAIN ST SUITE 325 WATERBURY, CT 06708 (203) 753-6776 |
| 1114985728 | MR. RICHARD POPE PA-C Individual | Physician Assistant (Medical) | 1389 W MAIN ST SUITE120 WATERBURY, CT 06708 (203) 755-5555 |
| 1396788501 | ABDULMASIH Z ZARIF MD Individual | Surgery | 1389 W MAIN ST TOWER 2 SUITE 321 WATERBURY, CT 06708 (203) 757-1113 |
| 1770511891 | RICHARD MATZA M.D. Individual | Orthopaedic Surgery | 1389 W MAIN ST SUITE 123 WATERBURY, CT 06708 (203) 755-5555 |
| 1174553663 | THOMAS MATTHEW HALLINAN LMFT Individual | Marriage & Family Therapist | 1389 W MAIN ST SUITE210 WATERBURY, CT 06708 (203) 755-5800 |
| 1770516452 | DR. EDWARD J KARBAN D.M.D. Individual | Dentist (Oral and Maxillofacial Surgery) | 1389 W MAIN ST SUITE 320 WATERBURY, CT 06708 (203) 573-1427 |
| 1538193370 | DR. JOHN JOSEPH HILLGEN IV D.M.D. Individual | Dentist (Oral and Maxillofacial Surgery) | 1389 W MAIN ST SUITE 320 WATERBURY, CT 06708 (203) 573-1427 |
| 1508951468 | DR. ANDREW F. KEENE DMD Individual | Dentist (Oral and Maxillofacial Surgery) | 1389 W MAIN ST SUITE 320 WATERBURY, CT 06708 (203) 573-1427 |
| 1134216872 | ELIZABETH M COUTURE PT Individual | Physical Therapist | 1389 W MAIN ST SUITE 121 WATERBURY, CT 06708 (203) 755-5555 |
| 1942345889 | LISA SEABRA-VEIGA D.M.D. Individual | Dentist (General Practice) | 1389 W MAIN ST SUITE 202 WATERBURY, CT 06708 (203) 597-9388 |
| 1619173382 | AMY BLAIS Individual | Physical Therapist (Pediatrics) | 1389 W MAIN ST WATERBURY, CT 06708 (203) 757-1474 |
| 1639378086 | DIANE L. FOUNTAS M.D. Organization | Pediatrics | 1389 W MAIN ST SUITE 325 WATERBURY, CT 06708 (203) 753-6776 |
| 1124218870 | SARAH MOREIRA SLP Individual | Speech-Language Pathologist | 1389 W MAIN ST WATERBURY, CT 06708 (203) 757-1474 |
| 1376733022 | TINA MEYERS Individual | Physical Therapist (Pediatrics) | 1389 W MAIN ST WATERBURY, CT 06708 (203) 757-1474 |
| 1467642132 | SHARON BROWN Individual | Physical Therapist (Pediatrics) | 1389 W MAIN ST WATERBURY, CT 06708 (203) 271-9854 |
| 1083804751 | CINDY DUNCAN Individual | Speech-Language Pathologist | 1389 W MAIN ST WATERBURY, CT 06708 (203) 757-1474 |
| 1023208790 | KATHY REIFF Individual | Occupational Therapist (Pediatrics) | 1389 W MAIN ST WATERBURY, CT 06708 (203) 757-1474 |
| 1134319809 | JENNIFER TWOHILL Individual | Occupational Therapist (Pediatrics) | 1389 W MAIN ST WATERBURY, CT 06708 (203) 757-1474 |
| 1740470400 | GERALDINE CAMPBELL Individual | Occupational Therapist (Pediatrics) | 1389 W MAIN ST WATERBURY, CT 06708 (203) 757-1474 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528016441, enumerated in the NPI registry as an "individual" on May 04, 2006
The provider is located at 1389 W Main St Waterbury, Ct 06708 and the phone number is (203) 755-5555
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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