Active NPI
Nathan Joseph Landesman, D.O.
- Gastroenterology Physician
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 5101015229
- Practice address
- 600 Health Park Blvd Ste D
Grand Blanc, MI 48439-2558 - Phone
- (810) 603-8400
- Fax
- (810) 603-8410
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 5101015229 | MI | Primary |
Addresses
Primary practice location
600 Health Park Blvd Ste D
Grand Blanc, MI 48439-2558
Mailing address
600 Health Park Blvd Ste D
Grand Blanc, MI 48439-2558
Phone (810) 603-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Michigan State University College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 S Saginaw St
Flint, MI 48502-1803
Phone (810) 232-3522
8275 Holly Rd
Suite 2
Grand Blanc, MI 48439-2442
Phone (810) 603-8400
Hospital & facility affiliations
- Ascension Genesys Hospital
- McLaren Flint
- Beaumont Hospital, Troy
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 152 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 101 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Genesys Hospital | Current | Accepting new patients | |
| Henry Ford Health Genesys Hospital | Gastroenterology | Current | Accepting new patients |
| Henry Ford Health Genesys Hospital | Current | Accepting new patients |
Locations
420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522
Interoperability endpoints
- nathanlandesman@pmi.allscriptsdirect.net
- nlandesman306589@direct.hfhs.org
- https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
- nlandesman1135704@direct.hfhs.org
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Grand Blanc, MI
- NPI 1982658456
-
- Podiatrist
- Flint, MI
- NPI 1528283033
-
- Skilled Nursing Facility
- Grand Blanc, MI
- NPI 1093125312
-
- Gastroenterology Physician
- Flint, MI
- NPI 1346620846
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1457397143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HEALTH PARK BLVD STE D",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392558",
"telephone_number": "810-603-8400",
"fax_number": "810-603-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HEALTH PARK BLVD STE D",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392558",
"telephone_number": "810-603-8400",
"fax_number": "810-603-8410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDESMAN",
"first_name": "NATHAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "5101015229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.