NPIMap

Individual provider Active NPI

Thusha Nathan, MD

  • Gastroenterology Physician
  • Rogers, AR
National Provider Identifier
1295718211
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E-7469 Issued in AR
Practice address
2708 Rife Medical Lane,
Suite 300
Rogers, AR 72758-1452
Phone
(479) 338-3030
Fax
(479) 338-3079
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X E-7469 AR Primary

Addresses

Primary practice location

2708 Rife Medical Lane,
Suite 300
Rogers, AR 72758-1452

Mailing address

2708 Rife Medical LN
Suite 300
Rogers, AR 72758-1452
Phone (479) 338-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041019001330 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 0547221939 Reassigns benefits to 2 organizations
I20120515000159 AR Practitioner - Internal MedicinePractitioner - Gastroenterology 0547221939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Park Gi Services LLCGroup PAC ID 7618267535, 5 clinicians

Practice addresses (Care Compare)

124 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone (501) 623-7800

Hospital & facility affiliations

  • National Park Medical Center Hospital, Hot Springs, AR, CCN 040078
  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy200
Upper gastrointestinal (GI) endoscopy for acid reflux179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-7469ARMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center, Inc Gastroenterology CurrentSince Feb 23, 2018 Accepting new patients
Conway Regional Medical Center, Inc. Current Accepting new patients
Conway Regional Medical Center Inc CurrentSince Feb 23, 2018 Accepting new patients
County of San Mateo CurrentSince Aug 15, 2019 Accepting new patients
National Park Gi Services LLC Gastroenterology CurrentSince Oct 15, 2020 Accepting new patients
County of San Mateo CurrentSince Aug 15, 2019 Accepting new patients
County of San Mateo CurrentSince Aug 15, 2019 Accepting new patients
National Park Endoscopy Center, LLC Past Accepting new patients

Locations

2200 Ada Ave
Ste 201
Conway, AR 72034
Phone (501) 852-1360

124 Sawtooth Oak St
Hot Springs National Park, AR 71901
Phone (501) 623-7800

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: thusha.nathan.1@2554.direct.athenahealth.com

Organizations & group practices 8

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1295718211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 RIFE MEDICAL LN",
            "address_2": "SUITE 300",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-3030",
            "fax_number": "479-338-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 RIFE MEDICAL LANE,",
            "address_2": "SUITE 300",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-3030",
            "fax_number": "479-338-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "THUSHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E-7469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.