DR. DANIEL NAM MD, PHD
NPI 1003850413
Internal Medicine in Port Jervis, NY

Q: What is Daniel Nam's NPI number?

The NPI number for Daniel Nam is 1003850413. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Daniel Nam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Nam was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment

160 E MAIN ST, PORT JERVIS, NY 12771(845) 858-7000 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2024, Aug 21, 2024, Jul 7, 2021 (3 updates tracked since 2021).

On this page

About Dr. Daniel Nam Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL NAM MD, PHD (NPI 1003850413) is an individual internal medicine provider in Port Jervis, New York, licensed in New Hampshire (16377) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital- Laconia, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1003850413

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. DANIEL NAMCredential: MD, PHD

Location Address160 E MAIN STPort Jervis, NY 12771-2114

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698

Phone(845) 858-7000

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1998

Enumeration DateJune 15, 2006

Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2024

✔ NPI 1003850413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in NH · 16377✔ Licensed in NY · 306510✔ Licensed in PA · MD432587✔ Licensed in NJ · 25MA07999200

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

160 E MAIN ST, Port Jervis, NY 12771

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Secondary Practice Location 1

Location 11 Medical Center DrLebanon, NH 03756-1000 · Phone (603) 650-5000

Other Identifiers 5

Medicaid1020277300003PA

Other2089031PA · Highmark Blue Shield

Medicaid1020277300001PA

Other3432839000PA · Bcbs Of Pa

Medicaid1020277300002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel Nam Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486659208

PECOS Enrollment IDI20071108000433, I20130927000179, I20210712000261

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Daniel Nam reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc.

35 mi

Internal Medicine

125 SMITHFIELD LN
East Stroudsburg, PA 18301

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: St Lukes Physician Group Inc
2,851 clinicians in this Medicare group

NPI 1952662272 (272) 212-3872

Advanced Inpatient Medicine Associates PC

62 mi

Hospitalist

575 N RIVER ST
Wilkes Barre, PA 18764

Reassigned Medicare billing, Pennsylvania enrollment
78 clinicians in this Medicare group

NPI 1396168589 (570) 552-4450

Gslpg, Inc

89 mi

Specialist

100 PARAMOUNT BLVD
Orwigsburg, PA 17961

Reassigned Medicare billing, Pennsylvania enrollment
953 clinicians in this Medicare group

NPI 1366006702 (272) 639-1000

Tri-County Hospitalists, LLC

97 mi

Internal Medicine

507 KIMBERTON RD
Phoenixville, PA 19460

Reassigned Medicare billing, Pennsylvania enrollment
74 clinicians in this Medicare group

NPI 1730518564 (484) 429-2351

Wellspan Medical Group

107 mi

Primary Care

30 W SWARTZVILLE RD
Reinholds, PA 17569

Reassigned Medicare billing, Pennsylvania enrollment
3,080 clinicians in this Medicare group

NPI 1629528211 (717) 484-4347

Dartmouth-Hitchcock Clinic

164 mi

Rehabilitation, Substance Use Disorder

24 RAILROAD ST
Keene, NH 03431

Reassigned Medicare billing, New Hampshire enrollment
2,999 clinicians in this Medicare group

NPI 1174176861 (603) 354-5400

Mount Nittany Medical Center Health Services Inc

172 mi

Internal Medicine

155 WELLNESS WAY
State College, PA 16803

Reassigned Medicare billing, Pennsylvania enrollment
393 clinicians in this Medicare group

NPI 1598992554 (814) 231-7000

Charles Cole Memorial Hospital

173 mi

Hematology & Oncology

1001 E 2ND ST
Coudersport, PA 16915

Reassigned Medicare billing, Pennsylvania enrollment
Also billed through NPI 1326161662 (Pennsylvania)
106 clinicians in this Medicare group

NPI 1902273428 (814) 274-5208

Nicholas H. Noyes Memorial Hospital

176 mi

General Acute Care Hospital

111 CLARA BARTON ST
Dansville, NY 14437

Reassigned Medicare billing, New York enrollment
275 clinicians in this Medicare group

NPI 1982625661 (585) 335-6001

The New London Hospital Association, Inc.

188 mi

Multi-Specialty

11 JOHN STARK HWY
Newport, NH 03773

Reassigned Medicare billing, New Hampshire enrollment
219 clinicians in this Medicare group

NPI 1770684672 (603) 526-5167

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

402 services131 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

217 services213 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

209 services103 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

184 services183 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

40 services40 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300005

Location80 Highland StLaconia, NH 03246 · Belknap County

Emergency services

Parkland Medical Center

Acute Care Hospitals · Derry, NH

5/5 CMS rating

OwnershipProprietary

CMS Certification Number300017

Location1 Parkland DriveDerry, NH 03038 · Rockingham County

Emergency services

Concord Hospital- Franklin

Critical Access Hospitals · Franklin, NH

OwnershipVoluntary non-profit - Private

CMS Certification Number301306

Location15 Aiken AvenueFranklin, NH 03235 · Merrimack County

Emergency services

Auburn Community Hospital

Acute Care Hospitals · Auburn, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330235

Location17 Lansing StreetAuburn, NY 13021 · Cayuga County

Emergency services Birthing friendly

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390268

Location1800 East Park AveState College, PA 16803 · Centre County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12771 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.77 typical visit price

range $61.88 – $187.05

Typical copayment $35.44 (range $15.47 – $46.76)

Most-billed visit code 99204

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%127 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$59.73 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$33.48 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHAD MICHAEL BURKHART

Registered Nurse

160 E MAIN ST
PORT JERVIS, NY 12771

Orange County (845) 858-8000

BEVERLY JANE FERNANDEZ NP

Nurse Practitioner (Adult Health)

160 E MAIN ST
PORT JERVIS, NY 12771

Orange County (845) 807-2239

MRS. ELAINE MARGARET RIDLEY RD

Dietitian, Registered

160 E MAIN ST
PORT JERVIS, NY 12771

Orange County (845) 858-7067

MR. STEVEN M TARLOFF R PH

Pharmacist

160 E MAIN ST
PORT JERVIS, NY 12771

Orange County (845) 858-7200

SHERI SUCCI

Nurse Practitioner (Family)

160 E MAIN ST
PORT JERVIS, NY 12771

Orange County (845) 858-7000

DEER PARK ANESTHESIA GROUP, LLP.

Anesthesiology

160 E MAIN ST, BON SECOURS COMMUNITY HOSPITAL
PORT JERVIS, NY 12771

Orange County (845) 858-7000

RONALD M ROSHE MD

Emergency Medicine

160 E MAIN ST
PORT JERVIS, NY 12771

Orange County (845) 858-7000

TRI-STATE RADIOLOGY, P.C.

Radiology (Diagnostic Ultrasound)

160 E MAIN ST, RADIOLOGY DEPARTMENT
PORT JERVIS, NY 12771

Orange County (845) 858-7050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Nam's NPI number?

The NPI number for Daniel Nam is 1003850413. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Daniel Nam located?

Daniel Nam practices at 160 E Main St, Port Jervis, NY 12771. The listed phone number is (845) 858-7000.

What is Daniel Nam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daniel Nam enrolled in Medicare?

Yes. Daniel Nam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Daniel Nam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Nam reassigns Medicare benefits to 17 organizations: St. Luke's Physician Group, Inc. (East Stroudsburg, PA), Advanced Inpatient Medicine Associates PC (Wilkes Barre, PA), Gslpg, Inc (Orwigsburg, PA), Tri-County Hospitalists, LLC (Phoenixville, PA), Wellspan Medical Group (Reinholds, PA) and 12 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Nam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Nam accept?

Health plans from WellSense Health Plan list Daniel Nam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Nam affiliated with any hospitals?

According to CMS data, Daniel Nam is affiliated with Concord Hospital- Laconia, Parkland Medical Center, Concord Hospital- Franklin, Auburn Community Hospital and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Nam was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.