Individual provider Active NPI

David Harris Nathan, MD

  • Dermatology Physician
  • Clearwater, FL
National Provider Identifier
1285610972
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0024463 Issued in FL
Practice address
1016 Ponce de Leon Blvd
Suite 7
Clearwater, FL 33756-1073
Phone
(727) 584-2131
Fax
(727) 585-8683
NPI assigned
Dec 15, 2005
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME0024463 FL Primary

Addresses

Primary practice location

1016 Ponce de Leon Blvd
Suite 7
Clearwater, FL 33756-1073

Mailing address

1016 Ponce de Leon Blvd
Suite 7
Belleair, FL 33756-1069
Phone (727) 584-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110519000439 FL Practitioner - Dermatology 3971789355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1016 Ponce de Leon Blvd
Suite 7
Belleair, FL 33756-1002

1016 Ponce de Leon Blvd
Suite 7
Belleair, FL 33756-1069
Phone (727) 584-2131

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision55
Removal of skin lesions730
Skin biopsy50

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David H Nathan M.D., P.a. Dermatology CurrentSince Nov 10, 2010 Accepting new patients

Locations

1016 Ponce de Leon Blvd
Ste 7
Clearwater, FL 33756
Phone (727) 584-2131

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1285610972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 PONCE DE LEON BLVD",
            "address_2": "SUITE 7",
            "city": "BELLEAIR",
            "state": "FL",
            "postal_code": "337561069",
            "telephone_number": "727-584-2131",
            "fax_number": "727-585-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 PONCE DE LEON BLVD",
            "address_2": "SUITE 7",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561073",
            "telephone_number": "727-584-2131",
            "fax_number": "727-585-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "DAVID",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0024463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.