Active NPI
Niraj Rama Nathan, M.D.
- Glaucoma Specialist (Ophthalmology) Physician
- Buford, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- 94296
- Practice address
- 1995 Mall of Georgia Blvd Ste a
Buford, GA 30519-6622 - Phone
- (678) 381-2020
- NPI assigned
- Apr 9, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 94296 | GA | |
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | 94296 | GA | Primary |
Addresses
Primary practice location
1995 Mall of Georgia Blvd Ste a
Buford, GA 30519-6622
Mailing address
1300 Peachtree Industrial Blvd Ste 1201
Suwanee, GA 30024-4550
Other practice location 1
11315 Johns Creek Pkwy Ste 300
Duluth, GA 30097-2644
Phone (678) 381-2020
Other practice location 2
1250 Scenic Hwy Ste 1700
Lawrenceville, GA 30045-7823
Phone (678) 381-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Ophthalmology | Current | Accepting new patients |
| Texas Children'S Physician Group | Current | Accepting new patients | |
| Baylor College of Medicine | Ophthalmology | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Alpharetta Eye Surgery Center LLC | Past | Accepting new patients | |
| Buford Eye Surgery Center | Past | Accepting new patients |
Locations
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Interoperability endpoints
- nnathan60846@direct.jpshealth.org
Organizations & group practices 10
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
- Houston, TX
- NPI 1053352914
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Ophthalmology Physician
- Dallas, TX
- NPI 1851361471
-
- Ambulatory Surgical Clinic/Center
- Alpharetta, GA
- NPI 1164938825
-
- Ambulatory Surgical Clinic/Center
- Buford, GA
- NPI 1609285386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1588920060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 1201",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 MALL OF GEORGIA BLVD STE A",
"city": "BUFORD",
"state": "GA",
"postal_code": "305196622",
"telephone_number": "678-381-2020"
}
],
"practiceLocations": [
{
"address_1": "11315 Johns Creek Pkwy Ste 300",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "GA",
"postal_code": "300972644",
"country_code": "US",
"telephone_number": "678-381-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 Scenic Hwy Ste 1700",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300457823",
"country_code": "US",
"telephone_number": "678-381-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NATHAN",
"first_name": "NIRAJ",
"middle_name": "RAMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-09",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "94296",
"primary": false
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "GA",
"license": "94296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.