Individual provider Active NPI

Tae-Young Nam, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1821690447
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V0071 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4941
Phone
(817) 702-3431
NPI assigned
Nov 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V0071 TX Primary
Emergency Medicine Physician 207P00000X V0071 TX
Student in an Organized Health Care Education/Training Program 390200000X NM

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4941

Mailing address

1500 S Main St
Fort Worth, TX 76104-4941
Phone (817) 702-3431

Other practice location 1

600 S Bonham St
Mexia, TX 76667-3603
Phone (254) 562-5332

Other practice location 2

2201 W Lampasas St
Ennis, TX 75119-5644
Phone (972) 875-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240606004238 TX Practitioner - Family PracticePractitioner - Emergency Medicine 3971045808 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Practice addresses (Care Compare)

1005 Legacy Ranch Rd
Suite 100
Waxahachie, TX 75165-1294
Phone (469) 800-9790

1441 S Midlothian Pkwy
Suite 100a
Midlothian, TX 76065-5597
Phone (469) 800-9440

215 Chisholm TRL
Jacksboro, TX 76458-1403
Phone (940) 567-6633

2201 W Lampasas St
Ennis, TX 75119-5644
Phone (972) 875-0900

2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (817) 922-1770

4001 Worth St
Dallas, TX 75246-1608

600 S Bonham St
Mexia, TX 76667-3603
Phone (254) 562-5332

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Parkview Regional Hospital Hospital, Mexia, TX, CCN 450400
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
  • Clay County Memorial Hospital Hospital, Henrietta, TX, CCN 451362
  • Hamilton General Hospital Hospital, Hamilton, TX, CCN 451392

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 8, 2025 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Sep 8, 2025 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Oct 31, 2024 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Hamilton County Hospital District Family Medicine CurrentSince May 1, 2025 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Hamilton County Hospital District CurrentSince May 1, 2025 Accepting new patients
Hamilton County Hospital District Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

400 N Brown St
Hamilton, TX 76531
Phone (254) 386-1600

400 N Brown St
Bldg 1
Hamilton, TX 76531
Phone (254) 386-1600

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: tnam1436506@direct.sw.org

Organizations & group practices 10

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 7

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1821690447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044941",
            "telephone_number": "817-702-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044941",
            "telephone_number": "817-702-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Bonham St",
            "address_purpose": "LOCATION",
            "city": "Mexia",
            "state": "TX",
            "postal_code": "766673603",
            "country_code": "US",
            "telephone_number": "254-562-5332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 W Lampasas St",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "751195644",
            "country_code": "US",
            "telephone_number": "972-875-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAM",
        "first_name": "TAE-YOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V0071",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V0071",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.