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CHANWOO NAM M.D.
NPI 1649890179
Internal Medicine in Buffalo, NY

Active since April 24, 2020PECOS EnrolledAccepts Medicare Assignment
462 GRIDER STREET, BUFFALO, NY 14215(607) 247-2200 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2025, Apr 24, 2020 (2 updates tracked since 2020).

About Chanwoo Nam M.d. NPPES

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

CHANWOO NAM M.D. (NPI 1649890179) is an individual internal medicine provider in Buffalo, New York, licensed in New York (334365) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Jones Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1649890179
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHANWOO NAMCredential: M.D.
Location Address462 GRIDER STREETBuffalo, NY 14215
Mailing Address120 Corporate Woods, Suite 350, Box 278911Rochester, NY 14623 · (585) 784-8842
Phone(607) 247-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 24, 2020
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedApril 24, 2020
✔ NPI 1649890179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 334365
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
462 GRIDER STREET, Buffalo, NY 14215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chanwoo Nam M.d. 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 ID9032611090
PECOS Enrollment IDI20250908003805
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.

Hospital Affiliations CMS Care Compare 5

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

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330096
Location191 North Main StreetWellsville, NY 14895 · Allegany County
Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston County
Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330277
Location1 Guthrie DriveCorning, NY 14830 · Steuben County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14215 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

ABIGAIL GRAPES
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET, DK MILLER 3RD FL
BUFFALO, NY 14215
Erie County (716) 898-3627
FARHAAN ABDUL GAFUR MD
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET
BUFFALO, NY 14215
Erie County (716) 898-3000
KRISTA KATHLEEN MIKOLICH
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET
BUFFALO, NY 14215
Erie County (716) 898-3941
ABIGAIL SUSAN BENNETT
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET, DK MILLER BUILDING 3RD FLOOR
BUFFALO, NY 14215
Erie County (716) 898-5199
DR. NICHOLAS ALEXANDER ROBINSON MB BCH BAO
Internal Medicine
462 GRIDER STREET
BUFFALO, NY 14215
Erie County (716) 898-4226
DR. ANURADHA MENDU M.B.B.S., M.P.H
Internal Medicine (Addiction Medicine)
462 GRIDER STREET, DEPARTMENT OF INTERNAL MEDICINE
BUFFALO, NY 14215
Erie County (716) 898-4226
MS. SHARON DENISA NADARAJAH M.D.
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET
BUFFALO, NY 14215
Erie County (716) 898-3000
MS. SAMAR NASIR
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET
BUFFALO, NY 14215
Erie County (716) 898-3152

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 Chanwoo Nam's NPI number?

The NPI number for Chanwoo Nam is 1649890179. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Chanwoo Nam located?

Chanwoo Nam practices at 462 Grider Street, Buffalo, NY 14215. The listed phone number is (607) 247-2200.

What is Chanwoo Nam's specialty?

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

Is Chanwoo Nam enrolled in Medicare?

Yes. Chanwoo 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.

Is Chanwoo Nam affiliated with any hospitals?

According to CMS data, Chanwoo Nam is affiliated with Jones Memorial Hospital, St James Mercy Hospital, Highland Hospital, Nicholas H Noyes Memorial Hospital and Corning Hospital.

When was this NPI record last updated?

The NPPES record for Chanwoo Nam was last updated on August 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.