Individual provider Active NPI

Aditya Nathan

  • Internal Medicine Physician
  • Post Falls, ID
National Provider Identifier
1487143442
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
O-1976 Issued in ID
Practice address
1300 E Mullan Ave Ste 1600
Post Falls, ID 83854-6054
Phone
(208) 625-4965
NPI assigned
May 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X O-1976 ID Primary

Addresses

Primary practice location

1300 E Mullan Ave Ste 1600
Post Falls, ID 83854-6054

Mailing address

500 University Pkwy Apt 105
Yakima, WA 98901-8224
Phone (503) 962-9023

Other practice location 1

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 538-7000

Other practice location 2

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anathan483290@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20240606004195 ID Practitioner - Internal Medicine 0244772168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

Practice addresses (Care Compare)

1300 E Mullan Ave
Suite 1600
Post Falls, ID 83854-6054
Phone (208) 625-4965

Hospital & facility affiliations

  • Eden Home Health Home health agency, Ponderay, ID, CCN 137122
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. CurrentSince Apr 24, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Apr 24, 2024 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. Past Accepting new patients

Locations

1919 Lincoln Way
Ste 110
Coeur D Alene, ID 83814
Phone (208) 625-4515

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

1300 E Mullan Ave
Ste 1800
Post Falls, ID 83854
Phone (208) 625-3700

1300 E Mullan Ave
Ste 1600
Post Falls, ID 83854
Phone (208) 625-4965

Interoperability endpoints

  • Direct secure messaging: anathan1028278@wm.providencedirect.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 2

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": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1487143442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY PKWY APT 105",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989018224",
            "telephone_number": "503-962-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MULLAN AVE STE 1600",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546054",
            "telephone_number": "208-625-4965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "WA",
            "postal_code": "985201006",
            "country_code": "US",
            "telephone_number": "360-538-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "ADITYA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-05",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "O-1976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anathan483290@direct.multicare.org",
            "affiliation": "N",
            "address_1": "1300 E Mullan Ave Ste 1600",
            "city": "Post Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838546054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.