Individual provider Active NPI

Nathan Maltezos, DO

  • Interventional Pain Medicine Physician
  • West Chester, PA
National Provider Identifier
1427477462
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS020144 Issued in PA
Practice address
704 W Nields St
West Chester, PA 19382-4102
Phone
(610) 840-2623
Fax
(610) 862-6460
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS020144 PA
Interventional Pain Medicine Physician 208VP0014X OS020144 PA Primary

Addresses

Primary practice location

704 W Nields St
West Chester, PA 19382-4102

Mailing address

704 W Nields St
West Chester, PA 19382-4102
Phone (610) 840-2623

Other practice location 1

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

Other practice location 2

1725 W Harrison St Ste 550
Chicago, IL 60612
Phone (312) 942-6631

Other practice location 3

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

Other practice location 4

1 Medical Center Blvd
Chester, PA 19013-3902
Phone (610) 447-2000

Other identifiers 1

IdentifierTypeStateIssuer
1037067330004MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EPIC Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191120001882 PA Practitioner - Pain ManagementPractitioner - Anesthesiology 9133478639 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Nova Southeastern Univ College of Dental Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Restorative Pain CareGroup PAC ID 1355756024, 2 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

704 W Nields St
West Chester, PA 19382-4102
Phone (518) 650-5687

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Associates in Anesthesia, Inc. Anesthesiology CurrentSince Nov 1, 2019 Accepting new patients
Restorative Pain Care Interventional Pain Medicine CurrentSince Feb 15, 2021 Accepting new patients
Northeastern Anesthesia Physicians P.C. Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Society Hill Anesthesia Consultants, PC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
Associates in Anesthesia Anesthesiology Past Accepting new patients

Locations

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

24 S 18th St
Allentown, PA 18104
Phone (610) 628-8372

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

130 Presidential Blvd
Bala Cynwyd, PA 19004
Phone (267) 443-2040

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

420 W Linfield Trappe Rd
Ste 101
Royersford, PA 19468
Phone (484) 975-0404

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 6

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 1

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1427477462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W NIELDS ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824102",
            "telephone_number": "610-840-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W NIELDS ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824102",
            "telephone_number": "610-840-2623",
            "fax_number": "610-862-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 W 64th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60621",
            "country_code": "US",
            "telephone_number": "773-962-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 W Harrison St Ste 550",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60612",
            "country_code": "US",
            "telephone_number": "312-942-6631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 W 64th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60621",
            "country_code": "US",
            "telephone_number": "773-962-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133902",
            "country_code": "US",
            "telephone_number": "610-447-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALTEZOS",
        "first_name": "NATHAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS020144",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "OS020144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037067330004",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "EPIC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24 S 18th St",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181045622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.