Individual provider Active NPI

Nathan Sailor, D.O.

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1194017160
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101019177 Issued in MI
Practice address
1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone
(231) 935-8000
Fax
(231) 935-8099
NPI assigned
May 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101019177 MI Primary

Addresses

Primary practice location

1400 Medical Campus Dr
Traverse City, MI 49684-7823

Mailing address

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000

Other practice location 1

1250 E Michigan Ave
Grayling, MI 49738-7074
Phone (989) 348-0550

Other practice location 2

2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone (989) 366-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130416000585 MI Practitioner - Family Practice 1759527880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalkaska Memorial Health CenterGroup PAC ID 3577536002, 57 clinicians

Practice addresses (Care Compare)

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500

Hospital & facility affiliations

  • Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Kalkaska Memorial Health Center Nursing home, Kalkaska, MI, CCN 235407

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019177MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center Family Medicine Current Accepting new patients
Munson Healthcare Grayling CurrentSince Sep 14, 2018 Accepting new patients
Munson Healthcare Grayling CurrentSince Sep 14, 2018 Accepting new patients
Kalkaska Memorial Health Center Family Medicine CurrentSince Mar 1, 2013 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Kalkaska Memorial Health Center Family Medicine Current Accepting new patients
Kalkaska Memorial Health Center CurrentSince Mar 1, 2013 Accepting new patients
Kalkaska Memorial Health Center Past Accepting new patients

Locations

3778 Momentum Pl
Chicago, IL 60689

3781 Momentum Pl
Chicago, IL 60689

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

Interoperability endpoints

  • Direct secure messaging: nsailor@direct.mhc.net

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 3

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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1194017160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MEDICAL CAMPUS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847823",
            "telephone_number": "231-935-8000",
            "fax_number": "231-935-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MEDICAL CAMPUS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847823",
            "telephone_number": "231-935-8000",
            "fax_number": "231-935-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497387074",
            "country_code": "US",
            "telephone_number": "989-348-0550",
            "fax_number": "989-348-0473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2585 W Houghton Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Prudenville",
            "state": "MI",
            "postal_code": "486519624",
            "country_code": "US",
            "telephone_number": "989-366-2900",
            "fax_number": "989-366-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAILOR",
        "first_name": "NATHAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101019177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.