Daniel Nam, MD, PHD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16377 Issued in NH

Practice address

160 E Main St
Port Jervis, NY 12771-2114

Phone

(845) 858-7000

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA, NH, NY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Internal Medicine

Education

New York University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Nittany Medical Center Health Services IncGroup PAC ID 8426136797, 366 clinicians

Hospital Medicine Services of NH, LLCGroup PAC ID 8527423706, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Nittany Medical Center Hospital, State College, PA, CCN 390268
• Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
• Parkland Medical Center Hospital, Derry, NH, CCN 300017
• Upmc Cole Hospital, Coudersport, PA, CCN 391313
• Concord Hospital- Franklin Hospital, Franklin, NH, CCN 301306

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations (25 of 28)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/16386a34-20a6-42d6-bf13-226b287a42a5/
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Medicine Services of NH, LLC

  • Hospitalist Physician
  • Derry, NH
  • NPI 1548967607
  Medicare reassignment Care Compare group NPD
• Mount Nittany Medical Center Health Services Inc

  • Internal Medicine Physician
  • State College, PA
  • NPI 1598992554
  Medicare reassignment Care Compare group
• Nicholas H. Noyes Memorial Hospital

  • General Acute Care Hospital
  • Dansville, NY
  • NPI 1982625661
  Medicare reassignment NPD
• Ahn Hospitalist Group, LTD

  • Internal Medicine Physician
  • Natrona Heights, PA
  • NPI 1770984304
  Medicare reassignment NPD
• Apogee Medical Group of Pennsylvania PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1568633535

  PA

  Medicare reassignment NPD
• Catholic Medical Center

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1427154335
  Medicare reassignment NPD
• Charles Cole Memorial Hospital

  • Critical Access Hospital
  • Coudersport, PA
  • NPI 1326161662
  Medicare reassignment NPD
• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198
  Medicare reassignment NPD
• Gslpg, Inc

  • Specialist
  • Orwigsburg, PA
  • NPI 1366006702
  Medicare reassignment NPD
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053

  Internal Medicine

  Medicare reassignment NPD
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654

  Internal Medicine

  Medicare reassignment NPD
• Speare Memorial Hospital

  • General Practice Physician
  • Plymouth, NH
  • NPI 1346402047
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Charles Cole Memorial D/B/a Upmc Cole

  • Ambulatory Surgical Clinic/Center
  • Coudersport, PA
  • NPI 1619008554

  Hospital

  Care Compare affiliation
• Charles Cole Memorial Hospital

  • Critical Access Hospital
  • Coudersport, PA
  • NPI 1326161662
  Care Compare affiliation
• Concord Hospital-Franklin

  • Critical Access Hospital
  • Franklin, NH
  • NPI 1700960895
  Care Compare affiliation
• Concord Hospital-Laconia

  • General Acute Care Hospital
  • Laconia, NH
  • NPI 1053495234
  Care Compare affiliation
• Concord Hospital-Laconia

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Hospital

  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  • General Acute Care Hospital
  • Derry, NH
  • NPI 1174570683
  Care Compare affiliation
• Mount Nittany Medical Center

  • Pain Clinic/Center
  • State College, PA
  • NPI 1104991801

  Hospital

  Care Compare affiliation
• Mount Nittany Medical Center

  • Clinic/Center
  • State College, PA
  • NPI 1194521302

  Hospital

  Care Compare affiliation
• Mount Nittany Medical Center

  • General Acute Care Hospital
  • State College, PA
  • NPI 1730173154
  Care Compare affiliation
• Mount Nittany Medical Center

  • Ambulatory Surgical Clinic/Center
  • State College, PA
  • NPI 1780750620

  Hospital

  Care Compare affiliation
• Mount Nittany Medical Center

  • Ambulatory Surgical Clinic/Center
  • State College, PA
  • NPI 1780752378

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1003850413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712114",
            "telephone_number": "845-858-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAM",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "306510",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "16377",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432587",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07999200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020277300003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2089031",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020277300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF PA",
            "identifier": "3432839000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020277300002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Muller
• Gloria D Munz, LCSW
• Kristie Anne Murphy, RN
• Olga I Murray, REGISTERED NURSE
• Kunwar Nagpal, D.D.S.
• Narrow Path Family Health NP PC
• Kenneth Newman, MD
• Nicholas S Katchen DDS PC
• O'Connor Medical PLLC
• Brandon Oconnor, M.D.

• Internal Medicine Physician in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.