Individual provider Active NPI

Nathaniel Thomson, DO

  • Diagnostic Radiology Physician
  • Louisville, KY
National Provider Identifier
1265864862
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
04518 Issued in KY
Practice address
200 E Chestnut St
Louisville, KY 40202-1831
Phone
(502) 585-1735
Fax
(502) 526-5489
NPI assigned
Aug 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 04518 KY Primary

Addresses

Primary practice location

200 E Chestnut St
Louisville, KY 40202-1831

Mailing address

234 E Gray St
Ste 850
Louisville, KY 40202-1901
Phone (314) 362-2978

Other practice location 1

1 Hospital Dr
Columbia, MO 65212-1000
Phone (573) 882-7901

Other practice location 2

216 S Kingshighway Blvd
Saint Louis, MO 63110-1026
Phone (314) 362-2978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20190813001241 KY Practitioner - Diagnostic Radiology 1355606476 Reassigns benefits to 2 organizations
I20240805003768 IN Practitioner - Diagnostic Radiology 1355606476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Alliance of Louisville PSCGroup PAC ID 1951214220, 25 clinicians

Practice addresses (Care Compare)

101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-7601

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.41 of 100Reported as group
Quality
92.64
Improvement activities
40
Cost
68.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Alliance of Louisville PSC Single Specialty CurrentSince Jul 1, 2019 Accepting new patients

Locations

3118 E 10th St
Ste A
Jeffersonville, IN 47130
Phone (812) 280-9355

101 Hospital Blvd
Jeffersonvlle, IN 47130
Phone (812) 206-8196

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

3901 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 896-2120

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

234 E Gray St
Ste 850
Louisville, KY 40202

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1265864862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E GRAY ST",
            "address_2": "STE 850",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021901",
            "telephone_number": "314-362-2978",
            "fax_number": "573-884-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831",
            "telephone_number": "502-585-1735",
            "fax_number": "502-526-5489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652121000",
            "country_code": "US",
            "telephone_number": "573-882-7901",
            "fax_number": "573-884-8524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 S Kingshighway Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101026",
            "country_code": "US",
            "telephone_number": "314-362-2978",
            "fax_number": "573-884-8524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "NATHANIEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "04518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.