Individual provider Active NPI

Nathan Luther Emerson, M.D.

  • Surgery Physician
  • Grapevine, TX
National Provider Identifier
1568671436
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q0433 Issued in TX
Practice address
1056 Texan TRL
Grapevine, TX 76051-3703
Phone
(972) 254-9399
Fax
(817) 527-6610
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Q0433 TX Primary

Addresses

Primary practice location

1056 Texan TRL
Grapevine, TX 76051-3703

Mailing address

PO Box 204803
Dallas, TX 75320-4803
Phone (972) 254-9399

Other practice location 1

12461 Timberland Blvd Ste 301
Fort Worth, TX 76244-5212
Phone (817) 251-0070

Other practice location 2

2005 W Park Dr Ste 300
Irving, TX 75061-2034
Phone (817) 251-0070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nemerson445018@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140919001070 TX Practitioner - General Surgery 5092873323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

1901 N Macarthur Blvd
Irving, TX 75061-2220
Phone (972) 579-8485

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)19
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0433TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Mar 28, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 28, 2022 Accepting new patients
Healthtexas Provider Network Surgery Current Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

1056 Texan Trl
Grapevine, TX 76051
Phone (817) 251-0070

2005 W Park Dr
Ste 300
Irving, TX 75061
Phone (469) 800-1050

2001 N MacArthur Blvd
Ste 255
Irving, TX 75061
Phone (972) 215-7700

Interoperability endpoints

  • Direct secure messaging: nathan.emerson@surgicalgroupnt.directbygreenway.com
  • Direct secure messaging: nemerson445018@direct.sw.org

Organizations & group practices 3

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 6

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1568671436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204803",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753204803",
            "telephone_number": "972-254-9399",
            "fax_number": "817-527-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 TEXAN TRL",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513703",
            "telephone_number": "972-254-9399",
            "fax_number": "817-527-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12461 Timberland Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762445212",
            "country_code": "US",
            "telephone_number": "817-251-0070",
            "fax_number": "817-527-6610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 W Park Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750612034",
            "country_code": "US",
            "telephone_number": "817-251-0070",
            "fax_number": "817-527-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "NATHAN",
        "middle_name": "LUTHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q0433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nemerson445018@direct.sw.org",
            "affiliation": "N",
            "address_1": "1056 Texan Trl",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760513703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.