Active NPI
Pradan A Nathan, M.D.
- Psychiatry Physician
- Conroe, TX
National Provider Identifier
1346522307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G7155
- Practice address
- 706 Old Montgomery Rd
Conroe, TX 77301-2740 - Phone
- (936) 521-6136
- Fax
- (936) 760-2898
- NPI assigned
- Sep 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G7155 | TX | Primary |
Addresses
Primary practice location
706 Old Montgomery Rd
Conroe, TX 77301-2740
Mailing address
1506 FM 2854 Rd
Conroe, TX 77304-2206
Phone (936) 521-6136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040413001733 | TX | Practitioner - Psychiatry | 0446244206 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-County Behavioral Healthcare
Practice addresses (Care Compare)
233 SGT Ed Holcomb Blvd S
Conroe, TX 77304-1990
Phone (936) 521-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G7155 | TX | MD | Psychiatry Physician |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1346522307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 FM 2854 RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773042206",
"telephone_number": "936-521-6136",
"fax_number": "936-760-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 OLD MONTGOMERY RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773012740",
"telephone_number": "936-521-6136",
"fax_number": "936-760-2898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "PRADAN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "G7155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.