Active NPI
Tae-Young Nam, MD
- Family Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- V0071
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Parkview Regional Hospital
- Baylor Scott & White Heart & Vascular Hospital - Dallas
- Clay County Memorial Hospital
- Hamilton General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Family Medicine | Current | Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Family Medicine | Current | Accepting new patients |
| Hamilton County Hospital District | Family Medicine | Current | Accepting new patients |
| Integrative Emergency Services Physician Group-Houston PLLC | Emergency Medicine | Current | Accepting new patients |
| Hamilton County Hospital District | Current | 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
- 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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Emergency Medicine Physician
- Pasadena, TX
- NPI 1801458708
-
- Family Medicine Physician
- Palestine, TX
- NPI 1558521179
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Critical Access Hospital
- Hamilton, TX
- NPI 1326037607
Family Medicine
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1952637316
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Flower Mound, TX
- NPI 1427054402
-
- Skilled Nursing Facility
- Austin, TX
- NPI 1306302344
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- Critical Access Hospital
- Henrietta, TX
- NPI 1437156361
-
- Critical Access Hospital Clinic/Center
- Henrietta, TX
- NPI 1881175776
-
- Critical Access Hospital
- Hamilton, TX
- NPI 1326037607
-
- General Acute Care Hospital
- Mexia, TX
- NPI 1497708929
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.