Individual provider Active NPI

Walter K Nahm, M.D., PHD.

  • Dermatology Physician
  • San Diego, CA
National Provider Identifier
1467447284
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A78569 Issued in CA
Practice address
7695 Cardinal Court
Suite 200
San Diego, CA 92123-3305
Phone
(858) 278-8835
Fax
(858) 386-4776
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A78569 CA
Procedural Dermatology Physician 207NS0135X A78569 CA
Dermatology Physician 207N00000X A78569 CA Primary

Addresses

Primary practice location

7695 Cardinal Court
Suite 200
San Diego, CA 92123-3305

Mailing address

7695 Cardinal CT
Suite 200
San Diego, CA 92123-3357
Phone (858) 278-8835

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Wnahm@udg.emadirect.md Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040112000201 CA Practitioner - Dermatology 2466352307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7695 Cardinal CT
Suite 200
San Diego, CA 92123-3357
Phone 85827888351002

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision341
Removal of skin lesions1661
Removal of skin cancer208
Removal of nail tissue26
Removal or shaving of skin growth360
Skin biopsy506

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78569CAMDMarriage & Family Therapist
A78569CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 27, 2010 Accepting new patients
Scripps Health Current Accepting new patients
Walter K Nahm MD PHD Inc Dermatology CurrentSince Jul 1, 2003 Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

7695 Cardinal Ct
Ste 220
San Diego, CA 92123
Phone (858) 278-8835

7695 Cardinal Ct
Ste 200
San Diego, CA 92123
Phone (858) 278-8835

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: wnahm@udg.emadirect.md
  • Direct secure messaging: wnahm28179@scrippshlth.medalliesdirect.net
  • Direct secure messaging: walterknahmmdphd@113764.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1467447284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-278-8835",
            "fax_number": "858-386-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL COURT",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233305",
            "telephone_number": "858-278-8835",
            "fax_number": "858-386-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHM",
        "first_name": "WALTER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.,  PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A78569",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A78569",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A78569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Wnahm@udg.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7695 Cardinal Court",
            "address_2": "Suite 200",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921233305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.