Individual provider Active NPI

Audrey Rosa Nath, M.D.

  • Neurological Surgery Physician
  • Galveston, TX
National Provider Identifier
1053679019
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
R9405 Issued in TX
Practice address
1005 Harborside Dr 6TH Floor
Galveston, TX 77555-2358
Phone
(832) 505-2450
Fax
(409) 747-0777
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X R9405 TX
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X R9405 TX
Neurological Surgery Physician 207T00000X R9405 TX Primary

Addresses

Primary practice location

1005 Harborside Dr 6TH Floor
Galveston, TX 77555-2358

Mailing address

PO Box 650859 Dept 710
Dallas, TX 75265-4021
Phone (409) 772-8053

Other practice location 1

77 Sugar Creek Center Blvd Ste 510
Sugar Land, TX 77478-3673
Phone (855) 864-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NE, WA, IN, IL, TN, CO, AR, AL, HI10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20200729003741 TX Practitioner - Neurology 5092130609 Reassigns benefits to 3 organizations
I20210201000502 NE Practitioner - Neurology 5092130609 Reassigns benefits to 1 organization
I20210909003370 WA Practitioner - NeurologyPractitioner - Psychiatry 5092130609 Reassigns benefits to 2 organizations
I20220407001984 IN Practitioner - Neurology 5092130609 Reassigns benefits to 1 organization
I20220426001618 IL Practitioner - Neurology 5092130609 Reassigns benefits to 1 organization
I20220502001675 TN Practitioner - Neurology 5092130609 Reassigns benefits to 1 organization
I20220524000816 CO Practitioner - Neurology 5092130609 Reassigns benefits to 1 organization
I20220524002961 AR Practitioner - Neurology 5092130609 Reassigns benefits to 1 organization
I20220629001895 AL Practitioner - Neurology 5092130609 Reassigns benefits to 1 organization
I20220926001772 HI Practitioner - Psychiatry 5092130609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical School at Houston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians
Nebraska Methodist HospitalGroup PAC ID 6901707447, 132 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5072

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1000

1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460

707 N 190TH Plaza
Elkhorn, NE 68022-3974
Phone (402) 815-4000

Hospital & facility affiliations

  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9405TXMDPediatric Neurodevelopmental Disabilities Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital CurrentSince Feb 15, 2021 Accepting new patients
Neurotech, LLC CurrentSince Nov 1, 2023 Accepting new patients
Corticare, Inc. CurrentSince Aug 1, 2022 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Oct 1, 2021 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Sep 30, 2024 Accepting new patients
King County Public Hospital District No 2 CurrentSince Oct 1, 2021 Accepting new patients
Overlake Medical Clinics, LLC Current Accepting new patients
TP-Health Incorporated CurrentSince Sep 1, 2024 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Utmb Faculty Group Practice CurrentSince Oct 1, 2021 Accepting new patients
Neurotech, LLC CurrentSince Mar 1, 2022 Accepting new patients
Monitoring Associates LLC CurrentSince Jun 8, 2020 Accepting new patients
Physicians Ancillary Services LLC CurrentSince Aug 1, 2022 Accepting new patients
Neurotech, LLC CurrentSince Apr 15, 2021 Accepting new patients
Neurotech, LLC CurrentSince Apr 28, 2021 Accepting new patients
Neurotech, LLC Past Accepting new patients

Locations

4171 Lomac St
Ste F
Montgomery, AL 36106
Phone (334) 267-7599

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

941 E 86th St
Ste 107
Indianapolis, IN 46240
Phone (262) 875-6611

1101 Glendale Blvd
Ste 101-B
Valparaiso, IN 46383
Phone (219) 462-1040

707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122

1005 Harborside Dr 6th
Galveston, TX 77555
Phone (409) 772-2328

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1005 Harborside Dr
Fl 6
Galveston, TX 77555

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

4810 Riverstone Blvd
Ste 100
Missouri City, TX 77459
Phone (832) 916-2677

77 Sugar Creek Center Blvd
Ste 510
Sugar Land, TX 77478
Phone (281) 495-5966

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1135 116th Ave NE
Ste 500
Bellevue, WA 98004
Phone (425) 454-3938

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

626 W Moreland Blvd
Waukesha, WI 53188
Phone (262) 754-0898

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 3

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1053679019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859 DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752654021",
            "telephone_number": "409-772-8053",
            "fax_number": "409-772-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HARBORSIDE DR 6TH FLOOR",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775552358",
            "telephone_number": "832-505-2450",
            "fax_number": "409-747-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Sugar Creek Center Blvd Ste 510",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783673",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "fax_number": "866-540-2867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATH",
        "first_name": "AUDREY",
        "middle_name": "ROSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "TX",
            "license": "R9405",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "R9405",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "R9405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.