DR. ANDREW DONGUK NAM (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1407291867
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
483 PAIN MANAGEMENT in IL
Provider Addresses for DR. ANDREW DONGUK NAM (M.D.)
1969 W OGDEN AVE FL 5
CHICAGO, IL 606123765
Phone: (312) 864-5044
Type: Mailing
350 Engle St
Englewood, NJ 076311808
Phone: (201) 608-2280
Fax: (201) 894-0585
Type: Location
1608 LEMOINE AVE STE 203
FORT LEE, NJ 070245636
Phone: (201) 944-8400
Type: Location
350 ENGLE ST
ENGLEWOOD, NJ 076311808
Phone: (201) 608-2280
Fax: (201) 894-0585
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $348.
Total Amount is formed as General ($348) + Research ($0) + Ownership ($0) = $348.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Cumberland Pharmaceuticals, Inc. ($112).
Total Amount
$348
General + Research + Ownership
Payments
20
Total payment records
General Amount
$348
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-09-04
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180904000135 | I | Pain Management | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 46 | 46 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 25 | 25 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 18 | 18 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 18 | 18 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | NJ | |
| A N E S T H E S I O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| A N E S T H E S I O L O G Y | NJ | |
| - | NY | |
| - | NY | |
| A N E S T H E S I O L O G Y | NY | |
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | LA |
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