Individual provider Active NPI

Nathan Joseph Landesman, D.O.

  • Gastroenterology Physician
  • Grand Blanc, MI
National Provider Identifier
1457397143
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5101015229 Issued in MI
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

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061206000563 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 3779582481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Genesys HospitalGroup PAC ID 2062323033, 85 clinicians
Flint Gastroenterology Associates PCGroup PAC ID 3072589100, 11 clinicians

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 Hospital, Grand Blanc, MI, CCN 230197
  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy152
Upper gastrointestinal (GI) endoscopy for acid reflux101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Genesys Hospital CurrentSince Sep 1, 2015 Accepting new patients
Henry Ford Health Genesys Hospital Gastroenterology CurrentSince Sep 1, 2015 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

  • Direct secure messaging: nathanlandesman@pmi.allscriptsdirect.net
  • Direct secure messaging: nlandesman306589@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.