Individual provider Active NPI

Nathaniel Wolkenfeld, M.D.

  • Surgery Physician
  • Odessa, TX
National Provider Identifier
1023317351
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T0042 Issued in TX
Practice address
540 W 5TH St Ste 470
Odessa, TX 79761-5070
Phone
(432) 580-8330
NPI assigned
Mar 25, 2011
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A116221 CA
Surgery Physician 208600000X T0042 TX Primary

Addresses

Primary practice location

540 W 5TH St Ste 470
Odessa, TX 79761-5070

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-2408

Other practice location 1

2400 Bath St
Santa Barbara, CA 93105
Phone (805) 682-7111

Other practice location 2

5171 S Cub Lake Rd Ste C350
Show Low, AZ 85901-7820
Phone (928) 537-8285

Other practice location 3

500 W 4th St
Odessa, TX 79761-5001
Phone (432) 640-4172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526000605 TX Practitioner - General Surgery 8426279092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCH Professional CareGroup PAC ID 1658358635, 51 clinicians

Practice addresses (Care Compare)

540 W 5TH St
Suite 470
Odessa, TX 79761-5070
Phone (432) 640-4172

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49703AZMDSurgery Physician
A116221CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCH Professional Care Hospital Based CurrentSince Aug 12, 2021 Accepting new patients
MCH Professional Care CurrentSince Mar 1, 2025 Accepting new patients
Nathaniel Wolkenfeld LLC Surgery CurrentSince Apr 20, 2021 Accepting new patients

Locations

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

540 W 5th St
Ste 470
Odessa, TX 79761
Phone (432) 580-0300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1023317351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-640-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST STE 470",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615070",
            "telephone_number": "432-580-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Bath St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "93105",
            "country_code": "US",
            "telephone_number": "805-682-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5171 S Cub Lake Rd Ste C350",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859017820",
            "country_code": "US",
            "telephone_number": "928-537-8285",
            "fax_number": "928-537-3363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797615001",
            "country_code": "US",
            "telephone_number": "432-640-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLKENFELD",
        "first_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-25",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A116221",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T0042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.