Nathan Dills, DO
Individual provider Active NPI Family Medicine Physician · Fruitport, MI
NPI 1114500790 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1114500790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5151015237 (MI)
- Practice address
- 3443 Farr Rd
Fruitport, MI 49415-8779 - Phone
- (231) 672-2900
- NPI assigned
- May 3, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Physician Network
Practice addresses (Care Compare)
1150 E Sherman Blvd
Suite 1175
Muskegon, MI 49444-1885
Phone (231) 672-2900
Hospital & facility affiliations
- Mary Free Bed at Home, LLC
- Interim Healthcare of West Michigan
- Trinity Health at Home - Muskegon
- Harbor Hospice
- Hospice of Western Michigan
- Trinity Health Muskegon Hospital
- Christian Care Nursing Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241106000725 | MI | Practitioner - Family Practice | 4688108269 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151015237 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Physician Network | Family Medicine | Current |
Accepting new patients |
| Hospice of Muskegon County, Inc. | Current | Accepting new patients | |
| Hospice of Muskegon County, Inc. | Family Medicine | Current | Accepting new patients |
| Mercy Physician Network | Family Medicine | Current |
Accepting new patients |
| Christian Care | Past | Accepting new patients |
Locations
3443 Farr Rd
Fruitport, MI 49415
Phone (231) 672-2900
1675 Leahy St
Ste 315A
Muskegon, MI 49442
Phone (231) 672-7800
1150 E Sherman Blvd
Ste 1100
Muskegon, MI 49444
Phone (231) 672-2203
2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333
1150 E Sherman Blvd
Ste 1175
Norton Shores, MI 49444
Phone (231) 672-6740
Interoperability endpoints
- https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5151015237 | MI | Yes |
Addresses
Primary practice location
3443 Farr Rd
Fruitport, MI 49415-8779
Mailing address
1675 Leahy St Ste 315a
Muskegon, MI 49442-5543
Phone (231) 672-8284
Other providers in Fruitport, MI
- Chelsea Klipfel, D.D.S., P.L.L.C.
- Christopher Sortman DDS, P.C.
- Country-Side Counseling & Consultation Services, PC
- Delphia Croff
- Allison Nichole Crowl
- Donna L Rick DDS PC
- David Leon Dora
- Susan Kay Ercia
- Amanda Marie Faino
- Fruitport Family Eye Care, PLLC
All providers in Fruitport, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.