Active NPI
Gene Laurence Nathan, M.D.
- Pediatrics Physician
- Taos, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G36717
- Practice address
- 1331 Maestas Rd
Taos, NM 87571-6268 - Phone
- (575) 776-7806
- Fax
- (575) 224-3348
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G36717 | CA | Primary |
Addresses
Primary practice location
1331 Maestas Rd
Taos, NM 87571-6268
Mailing address
1331 Maestas Rd
Taos, NM 87571-6268
Phone (575) 776-7806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Univ of Rochester School of Dental Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1331 Maestas Rd
Taos, NM 87571-6268
Phone (575) 776-7806
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G36717 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton Valley Health Care, Inc | Current | Accepting new patients | |
| Taos Whole Health Integrative Care, LLC | Current | Accepting new patients | |
| Teton Valley Health Care Inc | Current | Accepting new patients | |
| Teton Valley Health Care, Inc | Pediatrics | Current | Accepting new patients |
Locations
120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302
1331 Maestas Rd
Taos, NM 87571
Phone (505) 758-1216
Interoperability endpoints
- gene.nathan.1@17440.direct.athenahealth.com
- https://api.platform.athenahealth.com/17440/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Taos, NM
- NPI 1356879027
-
- Rural Health Clinic/Center
- Driggs, ID
- NPI 1013264183
-
- Medicare Defined Swing Bed Hospital Unit
- Driggs, ID
- NPI 1053669598
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1548417868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 MAESTAS RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716268",
"telephone_number": "575-776-7806",
"fax_number": "575-224-3348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 MAESTAS RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716268",
"telephone_number": "575-776-7806",
"fax_number": "575-224-3348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "GENE",
"middle_name": "LAURENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G36717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.