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Pui Ying Lai, MD

Neonatal-Perinatal Medicine · San Jose

NPI 1972847101

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
2 carriers
Office
1

Offices

1 location

Plans that list them

3 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Lai’s office at (408) 559-2011 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

3 of 3 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026

California Medical Board record

Licence A123550 · Current

Licensed to practise in California · since 2012 · expires 2028-09-30 · Medical College of Wisconsin.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$20,811 in 2024

Medicaid paid $20,811 for 130 billed services this clinician did in 2024, up to 13 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger91$17,241
Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams)39$3,570
Medicaid work by year
2024130213$20,811
202367214$7,785
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant (present body weight of 1500-2500 grams)31$3,943
Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams)36$3,842

Money from drug and device companies

$894 in 2024

Industry payments by year
202412$894$894
202011None$11

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Baxter HealthcareIps - Nutrition$894
2 payments
  • Consulting for Ips - Nutrition · 2024-03-15 · $447
  • Consulting for Ips - Nutrition · 2024-03-15 · $447
See all 2 published payments
Every published payment
Baxter HealthcareConsulting · 2024-03-15Ips - Nutrition$447
Baxter HealthcareConsulting · 2024-03-15Ips - Nutrition$447
See earlier years (2020)

2020: $11

Payments by company in 2020
Maquet Cardiovascular U.S. Sales L.L.C.Nava$11
1 payment
  • Meals for Nava · 2020-01-15 · $11

Professional record

NPI
1972847101
Licence
CA A123550, WI 61974California A123550: Current · expires 2028-09-30
More record details
Sole proprietor
No
Medicaid ID
WI 1972847101
Taxonomy
Federal specialty code 2080N0001X (2080N0001X); Pediatrics (208000000X)
Mailing address
2425 Samaritan Dr, San Jose, CA, 95124
NPI first listed
2012-11-10
NPI last updated
2022-07-21

This is when the NPI record was last certified, not a medical board exam.