Individual provider Active NPI

Nathan McAninch, M.D.

  • Anesthesiology Physician
  • Bloomington, IN
National Provider Identifier
1558756304
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01080428 Issued in IN
Practice address
4593 N Maple Grove Rd
Bloomington, IN 47404-9083
Phone
(765) 418-6787
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01080428 IN Primary

Addresses

Primary practice location

4593 N Maple Grove Rd
Bloomington, IN 47404-9083

Mailing address

4593 N Maple Grove Rd
Bloomington, IN 47404-9083
Phone (765) 418-6787

Other identifiers 1

IdentifierTypeStateIssuer
01080428AOtherINSTATE PLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190821003112 IN Practitioner - Anesthesiology 1850604083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Anesthesiologists PCGroup PAC ID 6204740988, 39 clinicians

Practice addresses (Care Compare)

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9147

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01080428INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Anesthesiologists PC Anesthesiology CurrentSince Jul 13, 2019 Accepting new patients

Locations

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

2800 Rex Grossman Blvd
Bloomington, IN 47403
Phone (800) 841-4938

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

2425 Northpark Dr
Ste 20
Columbus, IN 47203
Phone (812) 657-7800

Organizations & group practices 1

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 1

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1558756304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4593 N MAPLE GROVE RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049083",
            "telephone_number": "765-418-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4593 N MAPLE GROVE RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049083",
            "telephone_number": "765-418-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANINCH",
        "first_name": "NATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01080428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PLA",
            "identifier": "01080428A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.