Active NPI
Neil Natkow, DO
- Adult Medicine Physician
- Weston, FL
National Provider Identifier
1275989378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- OS4423
- Practice address
- 2447 Eagle Run Way
Weston, FL 33327-1432 - Phone
- (954) 646-6761
- Fax
- (954) 389-2681
- NPI assigned
- May 6, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | OS4423 | FL | Primary |
Addresses
Primary practice location
2447 Eagle Run Way
Weston, FL 33327-1432
Mailing address
2447 Eagle Run Way
Weston, FL 33327-1432
Phone (954) 646-6761
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0467821 | Medicaid | FL | |
| 80014 | Other | FL | MEDICARE PARTICIPATING OR SUPPLIER AGREEMENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS4423 | FL | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Health Options, LLC | Current | Accepting new patients |
Locations
14065 Town Loop Blvd
Ste 300
Orlando, FL 32837
Phone (407) 240-5554
14065 Town Loop Blvd
Orlando, FL 32837
Phone (407) 735-2114
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.
-
- General Practice Physician
- Orlando, FL
- NPI 1063067643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1275989378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2447 EAGLE RUN WAY",
"city": "WESTON",
"state": "FL",
"postal_code": "333271432",
"telephone_number": "954-646-6761",
"fax_number": "954-389-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2447 EAGLE RUN WAY",
"city": "WESTON",
"state": "FL",
"postal_code": "333271432",
"telephone_number": "954-646-6761",
"fax_number": "954-389-2681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATKOW",
"first_name": "NEIL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-06",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "OS4423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0467821",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PARTICIPATING OR SUPPLIER AGREEMENT",
"identifier": "80014",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.