NPIMap

Individual provider Active NPI

Nathanael James Dolan, MD

  • Family Medicine Physician
  • Carmi, IL
National Provider Identifier
1417183153
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036123357 Issued in IL
Practice address
103 Commerce St
Carmi, IL 62821-2223
Phone
(618) 842-4470
Fax
(618) 842-3437
NPI assigned
Jun 9, 2009
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 036123357 IL Primary

Addresses

Primary practice location

103 Commerce St
Carmi, IL 62821-2223

Mailing address

PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401

Other identifiers 1

IdentifierTypeStateIssuer
036123357MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090819000423 IL Practitioner - Family Practice 2860546215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 Commerce St
Carmi, IL 62821-2223
Phone (618) 384-5686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.72 of 100Reported as group
Quality
65.5
Promoting interoperability
100
Improvement activities
40
Cost
10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Apr 2, 2012 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Family Medicine CurrentSince Apr 2, 2012 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Family Medicine Current Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Family Medicine Past Accepting new patients

Locations

33 W Main St
Albion, IL 62806
Phone (618) 445-2287

103 Commerce St
Carmi, IL 62821
Phone (618) 384-5686

4241 Highway 14 W
Christopher, IL 62822
Phone (618) 724-1684

4241 State Highway 14
Christopher, IL 62822
Phone (618) 724-2136

1007 W Main St
Fairfield, IL 62837
Phone (618) 724-6612

165 Kinnaman Dr
Flora, IL 62839
Phone (618) 662-8386

3303 Logan Dr
Herrin, IL 62948
Phone (618) 833-4471

2920 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 244-6544

9525 Gold Hill Rd
Shawneetown, IL 62984
Phone (618) 269-3454

Interoperability endpoints

  • Direct secure messaging: nathanael.dolan@crhpc.eclinicaldirectplus.com

Organizations & group practices 4

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 8

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1417183153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COMMERCE ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628212223",
            "telephone_number": "618-842-4470",
            "fax_number": "618-842-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "NATHANAEL",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036123357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036123357",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmi, IL

Sources for this page

Verify at the official NPI Registry.