MYONG HO NAM (MD) – Blood Banking & Transfusion Medicine Physician, NPI 1770584476

MYONG HO NAM (MD) is a healthcare provider. based in Chantilly, Virginia. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 0101040202 (VA). The NPI Number for MYONG HO NAM (MD) is 1770584476

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
MYONG HO NAM (MD)
NPI
1770584476
Phone
(703) 691-2516
Address
PO BOX 221322
Enumeration Date
3 August 2005
Last Update Date
24 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7038586000
Graduation Year
1981 (45 years ago)
PAC ID
1456342211
Group Practice PAC ID
8426241647
Professional Enrollment ID
I20141022002462
Address ID
VA201765101LE44045PKWY300
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

318 PATHOLOGY in VA

Provider Addresses for MYONG HO NAM (MD)

  • PO BOX 221322

    CHANTILLY, VA 201531322

    Phone: (703) 691-2516

    Fax: (703) 691-3526

    Type: Mailing

  • 3300 GALLOWS RD

    FALLS CHURCH, VA 220423307

    Phone: (703) 776-6679

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 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: 2023-11-16 • Largest payer in this snapshot: ROCHE SEQUENCING SOLUTIONS, INC. ($150).

Total Amount

$150

General + Research + Ownership

Payments

1

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

2023-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (954 days ago).

Enrollment records

2

Earliest due date

2023-10-31

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
I20040520000488IPathologyDCTBD
I20141022002462IPathologyVA2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
84165Protein measurement, serum1,5411,085$0
86334Immunologic analysis technique on serum (immunofixation)880871$0
80503Pathology clinical consultation for clinical problem, 5-20 minutes317317$0
84166Protein measurement, body fluid142139$0
86335Immunologic analysis technique on body fluid, other fluids with concentration116116$0
View full utilization report →

Insurance plans in this area (ZIP 20153)

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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: 8426241647View full group profile
NameSpecialtyState
-VA
P A T H O L O G YPA
P A T H O L O G YVA
P A T H O L O G YOK
P A T H O L O G YTX
P A T H O L O G YPA
P A T H O L O G YRI
-MD
P A T H O L O G YVA
-SC

Reviews

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Frequently asked questions

Can I verify MYONG HO NAM (MD) with an NPI only?
You can start verification with NPI 1770584476 for MYONG HO NAM (MD), then check state licensing separately.
Is MYONG HO NAM (MD) listed as active for patients and plans?
The listing shows MYONG HO NAM (MD) as active in the NPI system.
What is MYONG HO NAM (MD)'s primary classification?
Blood Banking & Transfusion Medicine Physician is the headline specialty for MYONG HO NAM (MD) here. Clinical services aligned with this taxonomy classification.
Does MYONG HO NAM (MD) list a practice location?
Patients near Chantilly, Virginia may find MYONG HO NAM (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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