Individual provider Active NPI

Frederick K Nahm, MD

  • Neurology Physician
  • Greenwich, CT
National Provider Identifier
1548242647
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
040098 Issued in CT
Practice address
24 Home PL
Greenwich, CT 06830-7106
Phone
(203) 661-9383
Fax
(203) 661-6724
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 040098 CT
Neurology Physician 2084N0400X 040098 CT Primary

Addresses

Primary practice location

24 Home PL
Greenwich, CT 06830-7106

Mailing address

24 Home PL
Greenwich, CT 06830-7106
Phone (203) 661-9383

Other identifiers 1

IdentifierTypeStateIssuer
001400986MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040714000404 CT Practitioner - Neurology 3971582008 Reassigns benefits to 1 organization
I20110413000060 MA Practitioner - Neurology 3971582008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Michigan Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Neuromonitoring Associates, PCGroup PAC ID 8022019710, 30 clinicians

Practice addresses (Care Compare)

24 Home PL
Unit a
Greenwich, CT 06830-7106
Phone (888) 464-2466

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040098CTMDElectroneurodiagnostic Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Angels Neurological Centers PC Neurology CurrentSince Feb 1, 2011 Accepting new patients
Foundation Medical Partners Inc PastSince Feb 1, 2011 Accepting new patients

Locations

536 Washington St
Abington, MA 02351
Phone (781) 870-3773

144 Dean St
Taunton, MA 02780
Phone (508) 828-1212

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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.

Hospital & facility affiliations 5

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1548242647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOME PL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068307106",
            "telephone_number": "203-661-9383",
            "fax_number": "203-661-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOME PL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068307106",
            "telephone_number": "203-661-9383",
            "fax_number": "203-661-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHM",
        "first_name": "FREDERICK",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "CT",
            "license": "040098",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "040098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001400986",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.