DR. NAIM Y AOUN M.D.
NPI 1457323354
Internal Medicine - Pulmonary Disease in Nashua, NH

NPI Status: Active since February 03, 2006

Contact Information

166 KINSLEY ST
SUITE 101
NASHUA, NH
ZIP 03060
Phone: (603) 889-4131

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  • Individual
  • Male
  • Internal Medicine
  • Pulmonary Disease
  • Accepts Insurance
  • PECOS Enrolled

About NAIM AOUN

This page provides the complete NPI Profile along with additional information for Naim Aoun, an internist established in Nashua, New Hampshire with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1457323354 assigned on February 2006. The practitioner's primary taxonomy code is 207RP1001X with license number 213593 (MA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1457323354
Provider Name
DR. NAIM Y AOUN M.D.
Gender
Male
Entity Type
Individual
Location Address
166 KINSLEY ST SUITE 101 NASHUA, NH 03060
Location Phone
(603) 889-4131
Mailing Address
PO BOX 808 NASHUA, NH 03061
Mailing Phone
(603) 578-5090
Is Sole Proprietor?
No
Enumeration Date
02-03-2006
Last Update Date
02-15-2012
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An internist like Naim Aoun is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
213593
License State
MA
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RC0200XAllopathic & Osteopathic Physicians

Internal Medicine
Critical Care Medicine

213593 (MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Bronze 7500 HSA + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Bronze 7600 HSA + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Gold 2000 + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Silver 0 Deductible + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Silver 3400 + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Silver 6000 + $0 Rx List + 24/7 Nurse Advice - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H90825MEDICARE UPIN (02)MA 
A35781MEDICARE ID-TYPE UNSPECIFIED (04) 

Medicare Participation & PECOS Enrollment Status

Naim Aoun is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    3 DME suppliers used 58 Medicare Claims 58 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    3 DME suppliers used 34 Medicare Claims 34 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    3 DME suppliers used 33 Medicare Claims 96 Services Paid

  • DME-Other DME (DE001N)

    Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)

    2 DME suppliers used 35 Medicare Claims 210 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    4 DME suppliers used 50 Medicare Claims 50 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    4 DME suppliers used 46 Medicare Claims 46 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    4 DME suppliers used 23 Medicare Claims 23 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    5 DME suppliers used 75 Medicare Claims 450 Services Paid

  • DME-Other DME (DE001N)

    Filter, non disposable, used with positive airway pressure device (HCPCS:A7039)

    3 DME suppliers used 30 Medicare Claims 30 Services Paid

  • DME-Other DME (DE001N)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    4 DME suppliers used 40 Medicare Claims 40 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    2 DME suppliers used 17 Medicare Claims 17 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Sleep study including heart rate, breathing, airflow, and effort

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

This service was performed 14 times for 14 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 03060 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $132.09
  • Minimum New Patient Price $57.75
  • Maximum New Patient Price $174.26
  • Average New Patient Copayment $33.02
  • Minimum New Patient Copayment $14.43
  • Maximum New Patient Copayment $43.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $101.54
  • Minimum Established Patient Price $18.7
  • Maximum Established Patient Price $142.15
  • Average Established Patient Copayment $25.38
  • Minimum Established Patient Copayment $4.67
  • Maximum Established Patient Copayment $35.53

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457323354, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 6 + 2 + 6 + 3 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1457323354.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Specialist
166 KINSLEY ST, SUITE 204
NASHUA, NH 03060
Podiatrist
166 KINSLEY ST, STE 201
NASHUA, NH 03060
Family Medicine (Adult Medicine)
166 KINSLEY ST, SUITE 203
NASHUA, NH 03060
Internal Medicine (Hematology & Oncology)
166 KINSLEY ST
NASHUA, NH 03060
Physical Medicine & Rehabilitation
166 KINSLEY ST, SUITE 203
NASHUA, NH 03060
Internal Medicine (Cardiovascular Disease)
166 KINSLEY ST, STE 301
NASHUA, NH 03060
Obstetrics & Gynecology (Gynecology)
166 KINSLEY ST, SUITE 204
NASHUA, NH 03060
Audiologist
166 KINSLEY ST, SUITE 302
NASHUA, NH 03060
Internal Medicine (Pulmonary Disease)
166 KINSLEY ST
NASHUA, NH 03060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457323354, enumerated as an "individual" on February 03, 2006.

The provider is located at 166 KINSLEY ST SUITE 101 NASHUA, NH 03060 and the phone number is (603) 889-4131.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: WellSense Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.