Organization Active NPI

Naum PLLC

  • Emergency Medicine Physician
  • Fairfax, VA
National Provider Identifier
1487441887
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NAUM PLLC
Practice address
12600 Fair Lakes Cir
Fairfax, VA 22033-4904
Phone
(703) 994-4511
Fax
(703) 994-4787
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Myoung Kwak, MDNPI 1891350013
Title
Owner
Phone
(703) 994-4511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

12600 Fair Lakes Cir
Fairfax, VA 22033-4904

Mailing address

12600 Fair Lakes Cir Ste 100
Fairfax, VA 22033-4904
Phone (703) 994-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260127001576 DC Part B Supplier - Clinic/Group Practice 7810474350 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2336570Naum PLLC12600 Fair Lakes Circle, Ste 100, Fairfax, VA 22033Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory

Locations

12600 Fair Lakes Cir
Ste 100
Fairfax, VA 22033

12600 Fair Lakes Cir
Fairfax, VA 22033
Phone (201) 747-3229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1487441887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 FAIR LAKES CIR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334904",
            "telephone_number": "703-994-4511",
            "fax_number": "703-994-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 FAIR LAKES CIR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334904",
            "telephone_number": "703-994-4511",
            "fax_number": "703-994-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAUM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "MYOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-994-4511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.