Individual provider Active NPI

Milton Fred Nathan, MD

  • Cardiovascular Disease Physician
  • Miamisburg, OH
National Provider Identifier
1114909744
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35040194 Issued in OH
Practice address
4000 Miamisburg-Centerville Rd.
Ste 100
Miamisburg, OH 45342
Phone
(937) 866-0637
Fax
(937) 866-6713
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2022-00456 NC
Cardiovascular Disease Physician 207RC0000X 2022-00456 NC
Cardiovascular Disease Physician 207RC0000X 0101268378 VA
Cardiovascular Disease Physician 207RC0000X 35040194 OH Primary

Addresses

Primary practice location

4000 Miamisburg-Centerville Rd.
Ste 100
Miamisburg, OH 45342

Mailing address

4000 Miamiburg-Centerville Rd
Ste 100
Miamisburg, OH 45342
Phone (937) 866-0637

Other practice location 1

844 Kempsville Rd Ste 204
Norfolk, VA 23502-3927
Phone (757) 261-0700

Other practice location 2

211 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 472-1191

Other practice location 3

186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (336) 277-2000

Other identifiers 3

IdentifierTypeStateIssuer
0422699MedicaidOH
000000004497OtherOHANTHEM BC/BS
060013547OtherRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mnathan186550@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SD, NC, VA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040510000742 OH Practitioner - Cardiovascular Disease (Cardiology) 1557261740 Reassigns benefits to 2 organizations
I20190114001581 SD Practitioner - Urology 1557261740 Reassigns benefits to 1 organization
I20220510001103 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1557261740 Reassigns benefits to 6 organizations
I20240307003271 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1557261740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Cincinnati College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians
Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians

Practice addresses (Care Compare)

1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 490-2270

137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010

2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

2636 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

3533 Southern Blvd
Suite 2200
Kettering, OH 45429-1264
Phone (937) 228-4126

3535 Pentagon Blvd
Beavercreek, OH 45431-1705

3535 Pentagon Park Blvd
Suite 400
Dayton, OH 45431-1705
Phone (937) 490-2264

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615

4218 Arendell St
Morehead City, NC 28557-2866
Phone (252) 247-3257

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712

600 W Main St
Troy, OH 45373-3384

Hospital & facility affiliations

  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Kettering Health Greene Memorial Hospital, Xenia, OH, CCN 360026
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-00456NCMDCardiovascular Disease Physician
35040194OHMDCardiovascular Disease Physician
0101268378VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 27, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Internal Medicine CurrentSince Jul 30, 2023 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Sep 1, 2018 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Sep 27, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Carolinaeast Physicians Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Sep 27, 2023 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Internal Medicine Current Accepting new patients
Carolinaeast Physicians CurrentSince Jul 1, 2025 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Kettering Independent Medical Group Inc Internal Medicine CurrentSince Dec 29, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Apr 1, 2022 Accepting new patients
Ashtabula County Medical Center CurrentSince Jun 13, 2022 Accepting new patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

4160 Little York Rd
Ste 20
Dayton, OH 45414
Phone (937) 454-9327

3533 Southern Blvd
Ste 3450
Kettering, OH 45429
Phone (937) 293-0008

3535 Southern Blvd
#1
Kettering, OH 45429

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791

4000 Miamisburg Centerville Rd
Ste 100
Miamisburg, OH 45342
Phone (937) 643-9939

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000

1141 N Monroe Dr
Fl 3
Xenia, OH 45385
Phone (937) 372-3638

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

844 Kempsville Rd
Ste 204
Norfolk, VA 23502
Phone (757) 261-0700

Interoperability endpoints

  • Direct secure messaging: mnathan918970@direct.novanthealth.org

Organizations & group practices 19

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 19

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1114909744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MIAMIBURG-CENTERVILLE RD",
            "address_2": "STE 100",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "45342",
            "telephone_number": "937-866-0637",
            "fax_number": "937-866-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MIAMISBURG-CENTERVILLE RD.",
            "address_2": "STE 100",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "45342",
            "telephone_number": "937-866-0637",
            "fax_number": "937-866-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "844 Kempsville Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023927",
            "country_code": "US",
            "telephone_number": "757-261-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Old Lexington Rd",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273603428",
            "country_code": "US",
            "telephone_number": "336-472-1191",
            "fax_number": "336-472-1208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 Kimel Park Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036946",
            "country_code": "US",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "MILTON",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2022-00456",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2022-00456",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101268378",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35040194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422699",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000004497",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060013547",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnathan186550@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4000 Miamisburg-Centerville Rd.",
            "address_2": "Ste 100",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4000 Miamisburg-Centerville Rd.",
            "address_2": "Ste 100",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.