DOUGLAS NAM (MD) – Emergency Medicine Physician, NPI 1114999364

DOUGLAS NAM (MD) is a healthcare provider. based in Lewiston, Maine. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD15950 (ME). The NPI Number for DOUGLAS NAM (MD) is 1114999364

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS NAM (MD)
NPI
1114999364
Phone
(207) 795-0111
Address
300 Main St
Enumeration Date
2 February 2006
Last Update Date
11 April 2019

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
2077774420
Graduation Year
1998 (28 years ago)
PAC ID
4789628017
Group Practice PAC ID
0042107120
Professional Enrollment ID
I20050616000857
Address ID
ME042406030LE93XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

403 EMERGENCY MEDICINE in ME

Provider Addresses for DOUGLAS NAM (MD)

  • 300 Main St

    Lewiston, ME 042407007

    Phone: (207) 795-0111

    Fax: (207) 753-7201

    Type: Location

  • Lewiston Post Office, 4165, Salling Avenue, Lewiston, Albert Township, Montmorency County, Michigan, 49756, United States

    LEWISTON, ME 042437291

    Phone: (207) 777-8950

    Fax: (207) 777-8800

    Type: Mailing

  • Saint Marys Regional Medical Center, 91, Campus Avenue, Lewiston, Androscoggin County, Maine, 04240, United States

    LEWISTON, ME 04240

    Phone: (207) 777-8120

    Fax: (207) 777-8984

    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: 2005-06-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050616000857IEmergency MedicineMETBD

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
99284Emergency department visit with moderate level of medical decision making112109$0
99291Critical care, first 30-74 minutes4745$0
99283Emergency department visit with low level of medical decision making4340$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3836$0
99285Emergency department visit with high level of medical decision making3232$0
View full utilization report →

Insurance plans in this area (ZIP 04240)

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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: 0042107120View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ME
Nurse PractitionerNH
-ME
Pain Management, Physical Medicine And Rehabilitation, Emergency MedicineME
P S Y C H I A T R YME
Cardiovascular Disease (Cardiology)ME
-ME
-ME
-ME
Nurse PractitionerME

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Frequently asked questions

Is DOUGLAS NAM (MD) listed with a National Provider Identifier?
Yes — DOUGLAS NAM (MD) has NPI 1114999364 on file in the registry.
Is DOUGLAS NAM (MD) still an active registrant?
DOUGLAS NAM (MD) carries an active NPI according to the public dataset.
What kind of doctor is DOUGLAS NAM (MD)?
DOUGLAS NAM (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DOUGLAS NAM (MD)?
Directory geography for DOUGLAS NAM (MD) centers on Lewiston, Maine.
Does DOUGLAS NAM (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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