Individual provider Active NPI

Douglas K Nam, MD

  • Cardiovascular Disease Physician
  • Fishers, IN
National Provider Identifier
1275652497
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01069647A Issued in IN
Practice address
13100 E 136TH St
Suite 3000
Fishers, IN 46037-9817
Phone
(317) 678-3900
Fax
(317) 678-3910
NPI assigned
Mar 28, 2007
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01069647A IN
Cardiovascular Disease Physician 207RC0000X 01069647A IN Primary

Addresses

Primary practice location

13100 E 136TH St
Suite 3000
Fishers, IN 46037-9817

Mailing address

250 N Shadeland Ave Ste 130
Indianapolis, IN 46219-4959

Other practice location 1

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-7666

Other practice location 2

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Other identifiers 2

IdentifierTypeStateIssuer
000000790143OtherINANTHEM BCBS PIN
201032650MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dnam@direct.iuhealth.org
Direct Messaging Address dnam@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000456 IN Practitioner - Cardiovascular Disease (Cardiology) 1355511460 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Chicago, Pritzker School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indiana University Health IncGroup PAC ID 2365350675, 56 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Ave
Heart Station A1089
Indianapolis, IN 46202-1239
Phone (317) 924-8447

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

1800 N Capitol Ave
Advance Heart Care Iu MH
Indianapolis, IN 46202-1239
Phone (317) 924-5444

2209 John R Wooden Dr
Martinsville, IN 46151-1840
Phone (765) 342-8441

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 948-3267

550 University Blvd HS Uh
Suite 1103
Indianapolis, IN 46202-5149
Phone (317) 962-8447

8820 S Meridian St
Indianapolis, IN 46217-6058

9650 E Washington St
Suite 100
Indianapolis, IN 46229-3032
Phone (317) 944-3477

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01069647AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County CurrentSince Dec 10, 2025 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Indiana Pathology Institute PC Current Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Dec 10, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Heart Partners of Indiana LLC Cardiovascular Disease Past Accepting new patients

Locations

7301 Solutions Ctr
Chicago, IL 60677

13100 E 136th St
Ste 3000
Fishers, IN 46037
Phone (317) 678-3900

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1801 Senate Blvd
Ste 4000
Indianapolis, IN 46202
Phone (317) 962-0500

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500

Organizations & group practices 9

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

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1275652497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE STE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 E 136TH ST",
            "address_2": "SUITE 3000",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379817",
            "telephone_number": "317-678-3900",
            "fax_number": "317-678-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Eskenazi Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025187",
            "country_code": "US",
            "telephone_number": "317-880-7666",
            "fax_number": "317-880-0448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "888-484-3258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAM",
        "first_name": "DOUGLAS",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01069647A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01069647A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PIN",
            "identifier": "000000790143",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201032650",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnam@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "13100 E 136th St",
            "address_2": "Suite 3000",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460379817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnam@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.