Individual provider Active NPI

Nicholas Daniel Panting, MD

  • Family Medicine Physician
  • Elkhart, IN
National Provider Identifier
1346865516
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01088056A Issued in IN
Practice address
851 Parkway Ave
Elkhart, IN 46516-9334
Phone
(574) 537-0521
Fax
(574) 537-1217
NPI assigned
Jun 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01088056A IN Primary

Addresses

Primary practice location

851 Parkway Ave
Elkhart, IN 46516-9334

Mailing address

851 Parkway Ave
Elkhart, IN 46516-9334
Phone (574) 537-0521

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicholas.panting@goshenhealthdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230630001121 IN Practitioner - Family Practice 8527481043 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

851 Pkwy Ave
Elkhart, IN 46516-9334
Phone (574) 364-2875

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Hospital Association Inc Current Accepting new patients
Goshen Health System Inc Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Goshen Health System Inc CurrentSince Jul 1, 2023 Accepting new patients

Locations

851 Parkway Ave
#17
Elkhart, IN 46516
Phone (574) 364-2875

851 Parkway Ave
Elkhart, IN 46516
Phone (574) 364-2875

2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752

Interoperability endpoints

  • Direct secure messaging: nicholas.panting@goshenhealthdirect.com

Organizations & group practices 5

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 2

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": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1346865516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 PARKWAY AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169334",
            "telephone_number": "574-537-0521",
            "fax_number": "574-537-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 PARKWAY AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169334",
            "telephone_number": "574-537-0521",
            "fax_number": "574-537-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTING",
        "first_name": "NICHOLAS",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01088056A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicholas.panting@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "851 Parkway Ave",
            "city": "Elkhart",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465169334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.