NPIMap

Individual provider Active NPI

Nathaniel P Avila, M.D.

  • Gastroenterology Physician
  • Shenandoah, TX
National Provider Identifier
1346683323
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
24368 Issued in ND
Practice address
17183 Interstate 45 S Ste 640
Shenandoah, TX 77385-3316
Phone
(936) 270-3880
NPI assigned
Apr 9, 2013
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 247265 TN
Gastroenterology Physician 207RG0100X 24368 ND Primary
Gastroenterology Physician 207RG0100X MD-50847 IA
Gastroenterology Physician 207RG0100X S2225 TX
Gastroenterology Physician 207RG0100X 247265 TN

Addresses

Primary practice location

17183 Interstate 45 S Ste 640
Shenandoah, TX 77385-3316

Mailing address

2181 Troon Rd
Houston, TX 77019-1511
Phone (281) 728-3017

Other practice location 1

1601 NW 114th St Ste 342
Clive, IA 50325-7036
Phone (515) 222-7600

Other practice location 2

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 3

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ND2 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
I20190815001006 TX Practitioner - Gastroenterology 6305132556 Reassigns benefits to 3 organizations
I20260618003289 ND Practitioner - Gastroenterology 6305132556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24368NDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Oct 4, 2021 Accepting new patients
Hood Medical Group Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Oct 4, 2021 Accepting new patients
Hood Medical Group CurrentSince Jan 1, 2023 Accepting new patients
Sherman MD Provider Inc Gastroenterology CurrentSince Oct 14, 2025 Accepting new patients
Sherman MD Provider Inc Internal Medicine Current Accepting new patients
Sherman MD Provider Inc CurrentSince Oct 14, 2025 Accepting new patients

Locations

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1315 St Joseph Pkwy
Ste 806
Houston, TX 77002
Phone (713) 650-1900

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

17183 Interstate 45 S
Ste 640
Shenandoah, TX 77385
Phone (936) 270-3880

3401 N Calais Dr
Ste A
Sherman, TX 75090
Phone (903) 870-2094

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

1908 N Laurent St
Ste 330
Victoria, TX 77901
Phone 36157203332244

Interoperability endpoints

  • Direct secure messaging: nathaniel.avila.1@19036.direct.athenahealth.com
  • Direct secure messaging: navila609861@direct.peacehealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1346683323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 TROON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770191511",
            "telephone_number": "281-728-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 INTERSTATE 45 S STE 640",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853316",
            "telephone_number": "936-270-3880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 NW 114th St Ste 342",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503257036",
            "country_code": "US",
            "telephone_number": "515-222-7600",
            "fax_number": "515-222-7601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "fax_number": "276-258-3607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA",
        "first_name": "NATHANIEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "247265",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ND",
            "license": "24368",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "MD-50847",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "S2225",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "247265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.