PETER KITAE NAM (MD) – Hospitalist Physician, NPI 1154473957

PETER KITAE NAM (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in HOSPICE/PALLIATIVE CARE, HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 42097 (GA). The NPI Number for PETER KITAE NAM (MD) is 1154473957

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
PETER KITAE NAM (MD)
NPI
1154473957
Phone
(470) 325-0159
Address
PO BOX 1170
Enumeration Date
18 January 2007
Last Update Date
16 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702557500
Graduation Year
1995 (31 years ago)
PAC ID
1759450364
Group Practice PAC ID
0840291944
Professional Enrollment ID
I20080522000469
Address ID
GA300467694LA1000XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

150 HOSPICE/PALLIATIVE CARE in GA

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Provider Addresses for PETER KITAE NAM (MD)

  • Lawrenceville Post Office, 2611, Main Street, Lawrenceville, Lawrence Township, Mercer County, New Jersey, 08648, United States

    LAWRENCEVILLE, GA 300461170

    Phone: (470) 325-0159

    Fax: (470) 325-0191

    Type: Mailing

  • Gwinnett Medical Center, 1000, Medical Center Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    LAWRENCEVILLE, GA 300467694

    Phone: (678) 312-3273

    Fax: (678) 442-3282

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2023-10-26 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($62).

Total Amount

$150

General + Research + Ownership

Payments

4

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2008-05-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20080522000469IHospice/Palliative CareGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes225115$0
99239Hospital discharge day management, more than 30 minutes6767$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4322$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4116$0
99238Hospital discharge day management, 30 minutes or less1212$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 0840291944View full group profile
NameSpecialtyState
Internal MedicineGA
H O S P I T A L I S TGA
P S Y C H I A T R YGA
-GA
-GA
Hospitalist, Internal MedicineGA
Hospitalist, Internal MedicineGA
-GA
Radiation OncologyGA
H O S P I T A L I S TGA

Reviews

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Frequently asked questions

Can I verify PETER KITAE NAM (MD) with an NPI only?
You can start verification with NPI 1154473957 for PETER KITAE NAM (MD), then check state licensing separately.
Is PETER KITAE NAM (MD) still practicing?
PETER KITAE NAM (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes PETER KITAE NAM (MD)?
For research purposes, treat PETER KITAE NAM (MD) as Hospitalist Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is PETER KITAE NAM (MD) based?
PETER KITAE NAM (MD) is tied to Lawrenceville, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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