Active NPI
Nathaniel Christian Sherwood
- Internal Medicine Physician
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102204620
- Practice address
- PSC 475 Box 1
Fpo, AP 96350-1200 - Phone
- (315) 243-8658
- NPI assigned
- Mar 4, 2015
- Last updated
- Jun 25, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102204620 | VA | Primary |
| Internal Medicine Physician | 207R00000X | 5101026466 | MI |
Addresses
Primary practice location
PSC 475 Box 1
Fpo, AP 96350-1200
Mailing address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Other practice location 1
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-5000
Other practice location 2
13210 E Jefferson Ave
Detroit, MI 48215-2704
Phone (313) 335-3444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102204620 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Physicians Group of Michigan PLLC | Current | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
13210 E Jefferson Ave
Detroit, MI 48215
Phone (313) 335-3444
Interoperability endpoints
- nsherwood1151157@direct.hfhs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dedicated Senior Medical Center
- Internal Medicine Physician
- Miami Gardens, FL
- NPI 1992392393
MI
-
dba Dedicated Senior Medical Center Detroit East
- Non-Pharmacy Dispensing Site
- Detroit, MI
- NPI 1366028730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1255723946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "MIL",
"address_1": "PSC 475 BOX 1",
"city": "FPO",
"state": "AP",
"postal_code": "963501200",
"telephone_number": "315-243-8658"
}
],
"practiceLocations": [
{
"address_1": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "757-953-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13210 E Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482152704",
"country_code": "US",
"telephone_number": "313-335-3444",
"fax_number": "313-484-4998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERWOOD",
"first_name": "NATHANIEL",
"middle_name": "CHRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-04",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102204620",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101026466",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.