Individual provider Active NPI

Diana Nam

  • Medical Physician Assistant
  • Chevy Chase, MD
National Provider Identifier
1942126917
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
5530 Wisconsin Ave Ste 1250
Chevy Chase, MD 20815-4314
Phone
(301) 652-1231
NPI assigned
Jun 25, 2026
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1250
Chevy Chase, MD 20815-4314

Mailing address

5530 Wisconsin Ave Ste 1250
Chevy Chase, MD 20815-4314
Phone (301) 652-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Women's Health and Minimally Invasive Surgery, Inc. CurrentSince Jun 28, 2026 Accepting new patients
Advanced Ambulatory Surgery Center LLC CurrentSince Jun 28, 2026 Accepting new patients

Locations

5530 Wisconsin Ave
Ste 1201
Chevy Chase, MD 20815
Phone (301) 652-1231

5530 Wisconsin Ave
Ste 1250
Chevy Chase, MD 20815
Phone (301) 652-1231

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9714/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1942126917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1250",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154314",
            "telephone_number": "301-652-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1250",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154314",
            "telephone_number": "301-652-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAM",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.