Individual provider Active NPI

Nathaniel Patrick Cardosi, PA-C

  • Physician Assistant
  • Centerville, OH
National Provider Identifier
1114802733
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.009643RX Issued in OH
Practice address
7700 Washington Village Dr Ste 110
Centerville, OH 45459-4071
Phone
(937) 562-2291
Fax
(937) 562-2293
NPI assigned
Aug 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.009643RX OH Primary

Addresses

Primary practice location

7700 Washington Village Dr Ste 110
Centerville, OH 45459-4071

Mailing address

7700 Washington Village Dr Ste 110
Centerville, OH 45459-4071
Phone (937) 562-2291

Other practice location 1

3958 Brown Park Dr Ste D
Hilliard, OH 43026-1160
Phone (260) 483-9081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203002930 OH Practitioner - Physician Assistant 5294228730 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians

Practice addresses (Care Compare)

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.009643RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc Physician Assistant CurrentSince Jan 26, 2026 Accepting new patients
Extended Care Specialists, Inc Physician Assistant CurrentSince Jan 26, 2026 Accepting new patients
PHS Emergency Billing LLC Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients
Eventus Wholehealth Midwest Inc Physician Assistant CurrentSince Jan 26, 2025 Accepting new patients
Alliance Physicians Inc PastSince Jun 1, 2026 Accepting new patients

Locations

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1114802733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 WASHINGTON VILLAGE DR STE 110",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594071",
            "telephone_number": "937-562-2291",
            "fax_number": "937-562-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 WASHINGTON VILLAGE DR STE 110",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594071",
            "telephone_number": "937-562-2291",
            "fax_number": "937-562-2293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3958 Brown Park Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430261160",
            "country_code": "US",
            "telephone_number": "260-483-9081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDOSI",
        "first_name": "NATHANIEL",
        "middle_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009643RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.