Active NPI
Natalie Mira Elder, MD
- Emergency Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.137295
- Practice address
- 2315 Stockton Blvd
Sacramento, CA 95817-2201 - Phone
- (916) 734-7950
- NPI assigned
- Mar 20, 2018
- Last updated
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 316179 | NY | |
| Emergency Medicine Physician | 207P00000X | 042-0016200 | VT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 35.137295 | OH | Primary |
Addresses
Primary practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Mailing address
2315 Stockton Blvd
Sacramento, CA 95817-2201
Other practice location 1
774 Prior Hall, 376 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3570
Other practice location 2
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-2434
Other practice location 3
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wake Forest University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 316179 | NY | MD | Licensed Practical Nurse |
| 042-0016200 | VT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Emergency Medicine | Current | Accepting new patients |
| Porter Hospital, Inc | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
| Porter Hospital Inc | Current | Accepting new patients | |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Alice Hyde Medical Center | Past | Accepting new patients |
Locations
969 State Route 11
Moira, NY 12957
Phone (518) 529-7847
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
101 Adirondack Dr
Ste 1
Ticonderoga, NY 12883
Phone (518) 585-2831
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682
115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701
82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
- nelder501803@direct.uvmhealth.org
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
Emergency Medicine
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Emergency Medicine
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
-
- General Practice Physician
- Elizabethtown, NY
- NPI 1053656744
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
-
- Critical Access Hospital
- Middlebury, VT
- NPI 1740291400
-
dba Porter Medical Group
- Family Medicine Physician
- Middlebury, VT
- NPI 1134457013
-
- General Practice Physician
- Malone, NY
- NPI 1568735660
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- General Acute Care Hospital
- Berlin, VT
- NPI 1508845637
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
dba Elizabethtown Community Hospital Transport
- Ambulance
- Elizabethtown, NY
- NPI 1487923637
Hospital
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1427552058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-734-7950"
}
],
"practiceLocations": [
{
"address_1": "774 Prior Hall, 376 W 10th Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43210",
"country_code": "US",
"telephone_number": "614-293-3570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-2434",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Beekman St",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129011438",
"country_code": "US",
"telephone_number": "518-562-7371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELDER",
"first_name": "NATALIE",
"middle_name": "MIRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "316179",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "042-0016200",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.137295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.