Nathan Morris Hameroff, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME11683 Issued in FL

Practice address

5880 49TH St N
Suite 104
St Petersburg, FL 33709-2150

Phone

(727) 521-9552

Fax

(727) 528-4757

NPI assigned

May 25, 2006

Last updated

Apr 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBHHAA

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.

• Gateway Radiology Consultants, P.a.

  dba Gateway EmUrgent Care

  • Urgent Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1952747842
  NPD (past)
• MRI-South Umberton Inc

  dba MRA Open MRI

  • Diagnostic Radiology Physician
  • Pinellas Park, FL
  • NPI 1801889902
  NPD (past)
• Pinellas Medical Associates, PA

  dba Align Orthopaedic & Spine

  • Orthopaedic Surgery Physician
  • St Petersburg, FL
  • NPI 1285765040
  NPD (past)
• Sterling Radiology of FL, PA

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1578501227
  NPD (past)
• Tampa Bay Radiology Consultants

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1558312520
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1053367904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 80TH STREET CT S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337072725",
            "telephone_number": "727-384-0395",
            "fax_number": "727-343-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N",
            "address_2": "SUITE 104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-521-9552",
            "fax_number": "727-528-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEROFF",
        "first_name": "NATHAN",
        "middle_name": "MORRIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME11683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300075305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52796",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056422200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Halttunen, DDS
• Sharon Halverson, ARNP
• Karen D. Halvorsen, PHARM.D.
• Salim N Hamade, MD
• Joseph Hambos, DPT
• Aderiane Rosalene Hames, PHARMD
• Brittany Hamilton, APRN
• Chris Michelle Hamilton, MS-CCC-SLP
• Jessica Hamilton, LMHC
• Kristen Hamilton, LMHC, CRC

• Diagnostic Radiology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.