Individual provider Active NPI

Nathan Michael Polite, D.O.

  • Trauma Surgery Physician
  • Mobile, AL
National Provider Identifier
1184898223
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
DO.2400 Issued in AL
Practice address
2451 University Hospital Drive
Mastin 101
Mobile, AL 36617-2300
Phone
(251) 445-8282
Fax
(251) 445-8281
NPI assigned
Apr 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 72083 GA
Trauma Surgery Physician 2086S0127X 2018-00123 NC
Trauma Surgery Physician 2086S0127X DO.2400 AL Primary

Addresses

Primary practice location

2451 University Hospital Drive
Mastin 101
Mobile, AL 36617-2300

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 434-3626

Other practice location 1

1 Hospital Dr Ste 4200
Asheville, NC 28801-4550
Phone (828) 213-1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 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
I20140919000674 GA Practitioner - General Surgery 9931347168 Reassigns benefits to 1 organization
I20210108000347 AL Practitioner - General Surgery 9931347168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37614SCMDPulmonary Disease Physician
DO.2400ALMDTrauma Surgery Physician
72083GAMDTrauma Surgery Physician
2018-00123NCMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Physician Billing Services LLC CurrentSince Jan 1, 2021 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jan 1, 2021 Accepting new patients
Gwinnett Physician Group, LLC CurrentSince Sep 1, 2020 Accepting new patients
University of South Alabama Past Accepting new patients

Locations

575 Stanton Rd
Mobile, AL 36617
Phone (251) 471-7207

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

2451 University Hospital Dr
#101
Mobile, AL 36617
Phone (251) 445-8282

2451 University Hospital Dr
#102
Mobile, AL 36617
Phone (251) 470-5890

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Organizations & group practices 4

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 4

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": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1184898223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 UNIVERSITY HOSPITAL DRIVE",
            "address_2": "MASTIN 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172300",
            "telephone_number": "251-445-8282",
            "fax_number": "251-445-8281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-1998",
            "fax_number": "828-213-1448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLITE",
        "first_name": "NATHAN",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "GA",
            "license": "72083",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NC",
            "license": "2018-00123",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "AL",
            "license": "DO.2400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.