NPIMap

Individual provider Active NPI

Nathan Edward Myatt, D.O.

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1063647667
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4936 Issued in OK
Practice address
940 NE 13TH St
4G4200
Oklahoma City, OK 73104-5008
Phone
(405) 271-5125
NPI assigned
May 26, 2009
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 4936 OK Primary

Addresses

Primary practice location

940 NE 13TH St
4G4200
Oklahoma City, OK 73104-5008

Mailing address

P.O. Box 2690
Garrison Tower, Suite 4G4250 Department of Radiological
Oklahoma City, OK 73126
Phone (405) 271-5125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701002354 MS Practitioner - Diagnostic Radiology 8820215999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Imaging, PAGroup PAC ID 9234215625, 4 clinicians

Practice addresses (Care Compare)

1102 Constitution Ave
FL 1
Meridian, MS 39301-4001
Phone (601) 693-5843

1203 24TH Ave
Meridian, MS 39301-3926
Phone (601) 693-5843

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
53.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4936OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi State Hospital CurrentSince Aug 2, 2024 Accepting new patients
Mississippi State Hospital at Whitfield Current Accepting new patients
Medical Foundation, Inc. Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Medical Foundation, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Meridian Imaging, PA Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Mississippi State Hospital at Whitfield CurrentSince Aug 2, 2024 Accepting new patients

Locations

1203 24th Ave
Meridian, MS 39301
Phone (601) 693-5843

1400 20th Ave
Ste C
Meridian, MS 39301
Phone (601) 693-0216

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

3550 Highway 468 W
Whitfield, MS 39193

3550 Highway 468 W
#B60
Whitfield, MS 39193

Organizations & group practices 6

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 5

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1063647667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2690",
            "address_2": "GARRISON TOWER, SUITE 4G4250 DEPARTMENT OF RADIOLOGICAL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73126",
            "telephone_number": "405-271-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 NE 13TH ST",
            "address_2": "4G4200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045008",
            "telephone_number": "405-271-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYATT",
        "first_name": "NATHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "4936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.