Active NPI
Nathaniel Michael Apatov, CRNA
- Certified Registered Nurse Anesthetist
- Virginia Beach, VA
National Provider Identifier
1265411706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024164170
- Practice address
- 816 Independence Blvd
Ste 2G
Virginia Beach, VA 23455-6010 - Phone
- (757) 363-6728
- Fax
- (757) 363-6204
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-54599 | HI | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024164170 | VA | Primary |
Addresses
Primary practice location
816 Independence Blvd
Ste 2G
Virginia Beach, VA 23455-6010
Mailing address
816 Independence Blvd
Ste 2G
Virginia Beach, VA 23455-6010
Phone (757) 363-6728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-54599 | HI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMG Anesthesia Specialists LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1265411706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 INDEPENDENCE BLVD",
"address_2": "STE 2G",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556010",
"telephone_number": "757-363-6728",
"fax_number": "757-363-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 INDEPENDENCE BLVD",
"address_2": "STE 2G",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556010",
"telephone_number": "757-363-6728",
"fax_number": "757-363-6204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APATOV",
"first_name": "NATHANIEL",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN-54599",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024164170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.