Peter Nathan, MD
Individual provider Active NPI Emergency Medicine Physician · Columbia, MO
NPI 1124792510 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1124792510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2024015902 (MO)
- Practice address
- One Hospital Dr
Columbia, MO 65212-0001 - Phone
- (573) 882-8091
- Fax
- (573) 884-1902
- NPI assigned
- Aug 9, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Travis County Emergency Physicians PA
Ripley Emergency Group LLC
Practice addresses (Care Compare)
111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000
1515 Union Ave
Moberly, MO 65270-9407
Phone (660) 263-8400
Hospital & facility affiliations
- University of Missouri Health Care
- Moberly Regional Medical Center
- Ascension Seton Edgar B Davis
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 58.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.92
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, TX
- 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 |
|---|---|---|---|---|
| I20240819003534 | MO | Practitioner - Emergency Medicine | 2860896008 | Reassigns benefits to 1 organization |
| I20260324004371 | TX | Practitioner - Emergency Medicine | 2860896008 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curators of the University of Missouri | Current |
Accepting new patients | |
| The Curators of the University of Missouri | Current |
Accepting new patients | |
| Ripley Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
1 Hospital Dr
#2910
Columbia, MO 65212
Phone (573) 884-3233
1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000
315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000
1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2024015902 | MO | Yes |
Addresses
Primary practice location
One Hospital Dr
Columbia, MO 65212-0001
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Other providers in Columbia, MO
- Sarah C Narendorf
- Jemina Samantha Narvaez Intriago
- Tala Maria Nashawati
- Ayesha Nasrullah
- Natasha Young, LLC
- Zain Nathani
- National Vision, Inc.
- Premkumar Nattanmai Chandrasekaran
- Amanda Naumann
- Emily C Naumann
All providers in Columbia, MO · Emergency Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. 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.