| NPI | 1275652497 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-03-28 |
| Last Updated | 2026-01-21 |
| Mailing Address | 250 N Shadeland Ave Ste 130 Indianapolis, IN 46219-4959 United States 📍 View Map |
| Primary Practice Address | 13100 E 136th St, Suite 3000 Fishers, IN 46037-9817 United States Phone: (317) 678-3900 | Fax: (317) 678-3910 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | IN | 000000790143 | Anthem BCBS PIN |
| MEDICAID | IN | 201032650 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207R00000X – Internal Medicine | IN | 01069647A |
| Yes | 207RC0000X – Internal Medicine, Cardiovascular Disease | IN | 01069647A |
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About NPI 1275652497
Douglas K Nam MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1275652497. The primary specialty listed is Internal Medicine, Cardiovascular Disease. The provider is located in Fishers, IN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1275652497?
NPI 1275652497 belongs to Douglas K Nam MD, a Internal Medicine, Cardiovascular Disease in Fishers, IN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1275652497 active?
The current status of NPI 1275652497 in the NPPES registry is Active. The record was last updated on 2026-01-21.
What specialty is NPI 1275652497?
NPI 1275652497 is classified under the taxonomy Internal Medicine, Cardiovascular Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1275652497?
You can verify NPI 1275652497 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1275652497?
The primary practice address on file for NPI 1275652497 is 13100 E 136th St, Fishers, IN 46037-9817. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1275652497 issued?
NPI 1275652497 was first issued (enumerated) on 2007-03-28. The NPPES record was last updated on 2026-01-21.
Practice Location Map
Douglas K Nam is located at 13100 E 136th St, Fishers, IN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Douglas K Nam. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1275652497. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 01069647A | IN |
| Internal Medicine, Cardiovascular Disease | 01069647A | IN |