Active NPI
Nathan Edward Nachlas, MD
- Facial Plastic Surgery Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- ME 49831
- Practice address
- 1601 Clint Moore Rd Ste 170
Boca Raton, FL 33487-2768 - Phone
- (561) 939-0900
- NPI assigned
- Nov 15, 2005
- 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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | ME 49831 | FL | Primary |
Addresses
Primary practice location
1601 Clint Moore Rd Ste 170
Boca Raton, FL 33487-2768
Mailing address
1601 Clint Moore Rd Ste 170
Boca Raton, FL 33487-2768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050120000059 | FL | Practitioner - Otolaryngology | 2860398609 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Chicago, Pritzker School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ENT and Allergy Associates of Florida, LLC
Practice addresses (Care Compare)
1601 Clint Moore Rd
Suite 170
Boca Raton, FL 33487-5713
Phone (561) 939-0900
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 49831 | FL | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates of Florida, LLC | Current | Accepting new patients | |
| Advanced Diabetes Treatment Centers LLC | Past | Accepting new patients |
Locations
6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267
9980 Central Park Blvd N
Ste 124
Boca Raton, FL 33428
Phone (561) 372-7546
900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267
1601 Clint Moore Rd
Ste 170
Boca Raton, FL 33487
Phone (561) 939-0900
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
FL
-
- Endocrinology, Diabetes & Metabolism Physician
- Boca Raton, FL
- NPI 1326065038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1497737647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CLINT MOORE RD STE 170",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CLINT MOORE RD STE 170",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872768",
"telephone_number": "561-939-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACHLAS",
"first_name": "NATHAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "FL",
"license": "ME 49831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.