Individual provider Active NPI

Robert Alan Nathan, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Colorado Springs, CO
National Provider Identifier
1487648077
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
21249 Issued in CO
Practice address
2709 N Tejon St
Colorado Springs, CO 80907-6231
Phone
(719) 473-0872
Fax
(719) 630-3658
NPI assigned
Sep 9, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 21249 CO Primary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 25825 FL

Addresses

Primary practice location

2709 N Tejon St
Colorado Springs, CO 80907-6231

Mailing address

2709 N Tejon St
Colorado Springs, CO 80907-6231
Phone (719) 473-0872

Other identifiers 1

IdentifierTypeStateIssuer
01212497MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040702000188 CO Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2961391677 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21249COMDAllergy & Immunology (Internal Medicine) Physician
25825FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Associates, PC Allergy & Immunology CurrentSince Oct 11, 1977 Accepting new patients
Asthma & Allergy Associates, PC Allergy & Immunology CurrentSince Oct 11, 1977 Accepting new patients

Locations

2709 N Tejon St
Colorado Springs, CO 80907
Phone (303) 473-0872

Interoperability endpoints

  • Direct secure messaging: robert.nathan@corhio.medicity.net

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487648077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 N TEJON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076231",
            "telephone_number": "719-473-0872",
            "fax_number": "719-630-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 N TEJON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076231",
            "telephone_number": "719-473-0872",
            "fax_number": "719-630-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CO",
            "license": "21249",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "FL",
            "license": "25825",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01212497",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.