Individual provider Active NPI

Nathaniel Elliot Ebersole, DO

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1144789165
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.016392 Issued in OH
Practice address
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone
(216) 778-7800
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MED-PHYS-LIC-159111 MT
Pediatrics Physician 208000000X MED-PHYS-LIC-159111 MT
Internal Medicine Physician 207R00000X 34.016392 OH Primary

Addresses

Primary practice location

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (708) 927-7336

Other practice location 1

6 13th Ave E
Polson, MT 59860-5315
Phone (406) 883-5680

Other names 1

  • Nate Ebersole Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nebersol154093@direct.metrohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230523001960 OH Practitioner - Internal Medicine 1153656426 Reassigns benefits to 2 organizations
I20250708004371 MT Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1153656426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Liberty Univ College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians
Providence St Joseph Medical CenterGroup PAC ID 0446230247, shared by 5 NPIs, 52 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

6 13TH Ave E
Polson, MT 59860-5315
Phone (406) 883-5377

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-159111MTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence St Joseph Medical Center CurrentSince Jul 28, 2025 Accepting new patients
The Metrohealth System Current Accepting new patients
Providence St Joseph Medical Center CurrentSince Jul 28, 2025 Accepting new patients
Hni Emergency Services of Ohio, LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Credena Health LLC CurrentSince Jul 28, 2025 Accepting new patients
The Metrohealth System Internal Medicine CurrentSince May 17, 2023 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
The Metrohealth System CurrentSince May 17, 2023 Accepting new patients

Locations

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

25501 Chagrin Blvd
Beachwood, OH 44122
Phone (216) 545-4800

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1144789165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "708-927-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 13th Ave E",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598605315",
            "country_code": "US",
            "telephone_number": "406-883-5680",
            "fax_number": "406-883-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERSOLE",
        "first_name": "NATHANIEL",
        "middle_name": "ELLIOT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-159111",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "MED-PHYS-LIC-159111",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.016392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nebersol154093@direct.metrohealth.org",
            "affiliation": "N",
            "address_1": "2500 Metrohealth Dr",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441091900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATE",
            "last_name": "EBERSOLE",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.