Individual provider Active NPI

Haring J.W. Nauta, M.D.

  • Neurological Surgery Physician
  • Bradenton, FL
National Provider Identifier
1518066539
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G2443 Issued in TX
Practice address
5138 55TH Street Cir W
Bradenton, FL 34210-4923
Phone
(409) 599-7551
NPI assigned
Sep 22, 2006
Last updated
Mar 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G2443 TX Primary

Addresses

Primary practice location

5138 55TH Street Cir W
Bradenton, FL 34210-4923

Mailing address

5138 55TH Street Cir W
Bradenton, FL 34210-4923
Phone (409) 599-7551

Other identifiers 1

IdentifierTypeStateIssuer
125246203MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20091113000563 KY Practitioner - Neurosurgery 1254488646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

530 S Jackson St
Louisville, KY 40202-1675

571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G2443TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Neurological Surgery CurrentSince Dec 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. Neurological Surgery Current Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
University Medical Center, Inc Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

220 Abraham Flexner Way
#1200
Louisville, KY 40202
Phone (502) 584-3377

225 Abraham Flexner Way
Ste 505
Louisville, KY 40202
Phone (502) 584-4121

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

550 S Jackson St
Fl 3
Louisville, KY 40202
Phone (502) 561-8686

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • Direct secure messaging: hnauta13894@uoflhealth-dm.org

Organizations & group practices 5

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1518066539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5138 55TH STREET CIR W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342104923",
            "telephone_number": "409-599-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 55TH STREET CIR W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342104923",
            "telephone_number": "409-599-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUTA",
        "first_name": "HARING",
        "middle_name": "J.W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "G2443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125246203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.