Individual provider Active NPI

Nathaniel T Dew, MD

  • Surgery Physician
  • Goshen, IN
National Provider Identifier
1063405827
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01054200A Issued in IN
Practice address
2006 S Main St
Suite a
Goshen, IN 46526-5232
Phone
(574) 535-9100
Fax
(574) 535-1020
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01054200A IN Primary

Addresses

Primary practice location

2006 S Main St
Suite a
Goshen, IN 46526-5232

Mailing address

2006 S Main St
Suite a
Goshen, IN 46526-5232
Phone (574) 535-9100

Other practice location 1

1355 Mariners Dr
Warsaw, IN 46582-7145
Phone (574) 535-9100

Other identifiers 1

IdentifierTypeStateIssuer
200331130MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@gsa.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090218000595 IN Practitioner - General Surgery 6901961382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Indiana University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gerig Surgical Associates PCGroup PAC ID 6406835941, 8 clinicians
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

Practice addresses (Care Compare)

2006 S Main St
Suite a
Goshen, IN 46526-5232
Phone (574) 535-9100

207 N Townline Rd
101 PPG General Surgery
Lagrange, IN 46761-1325
Phone (260) 463-9335

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy78
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux30
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue13
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Surgery Current Accepting new patients
Gerig Surgical Associates PC Surgery CurrentSince Sep 1, 2001 Accepting new patients
Parkview Health System Inc Surgery CurrentSince Dec 27, 2023 Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

2006 S Main St
#A
Goshen, IN 46526
Phone (574) 535-9100

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

207 N Townline Rd
Ste 101
Lagrange, IN 46761
Phone (260) 463-9316

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72532
  • Direct secure messaging: ndew4618@direct.parkviewexchange.com

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 and National Provider Directory roles.

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1063405827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 S MAIN ST",
            "address_2": "SUITE A",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265232",
            "telephone_number": "574-535-9100",
            "fax_number": "574-535-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S MAIN ST",
            "address_2": "SUITE A",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265232",
            "telephone_number": "574-535-9100",
            "fax_number": "574-535-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 Mariners Dr",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465827145",
            "country_code": "US",
            "telephone_number": "574-535-9100",
            "fax_number": "574-535-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEW",
        "first_name": "NATHANIEL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01054200A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200331130",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@gsa.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2006 S Main St",
            "address_2": "Suite A",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465265232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.