HYUN JU NAM (MD) – Emergency Medicine Physician, NPI 1053871939

HYUN JU NAM (MD) is a healthcare provider. based in Farmington, Connecticut. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. D94265 (MD). The NPI Number for HYUN JU NAM (MD) is 1053871939

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
HYUN JU NAM (MD)
NPI
1053871939
Phone
(860) 679-2147
Address
263 FARMINGTON AVE
Enumeration Date
25 March 2019
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
3018162424
Graduation Year
2019 (7 years ago)
PAC ID
5597095646
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20231006002986
Address ID
MD210936038TI2391XDRXX300

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

839 EMERGENCY MEDICINE in CT

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Provider Addresses for HYUN JU NAM (MD)

  • University of Connecticut Health Center, 263, Farmington Avenue, Farmington, Hartford County, Connecticut, 06030, United States

    FARMINGTON, CT 060300001

    Phone: (860) 679-2147

    Fax: (860) 679-4624

    Type: Mailing

  • 250 W PRATT ST

    BALTIMORE, MD 212012423

    Phone:

    Type: Mailing

  • 901 HARRY S TRUMAN DR N

    LARGO, MD 207745477

    Phone: (240) 677-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221207000372IEmergency MedicineDCTBD
I20231006002986IEmergency MedicineMDTBD
I20231026001601IEmergency MedicineVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making6868$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5147$0
99284Emergency department visit with moderate level of medical decision making3332$0
99291Critical care, first 30-74 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 06030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779495858View full group profile

Reviews

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Frequently asked questions

What federal number belongs to HYUN JU NAM (MD)?
The federal identifier for HYUN JU NAM (MD) is NPI 1053871939.
Is HYUN JU NAM (MD) currently active in the NPI registry?
CMS-published data lists HYUN JU NAM (MD) as an active registrant.
Does HYUN JU NAM (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for HYUN JU NAM (MD). Clinical services aligned with this taxonomy classification.
What location shows for HYUN JU NAM (MD)?
We surface Farmington, Connecticut for HYUN JU NAM (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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