Active NPI
David Levi Nathan, MD
- Dermatology Physician
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 01051097
- Practice address
- 8244 E US Highway 36
Suite 1220
Avon, IN 46123-9613 - Phone
- (317) 272-1366
- Fax
- (317) 272-1388
- NPI assigned
- Sep 22, 2005
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 01051097 | IN | Primary |
Addresses
Primary practice location
8244 E US Highway 36
Suite 1220
Avon, IN 46123-9613
Mailing address
8244 E US Highway 36
Suite 1220
Avon, IN 46123-9613
Phone (317) 272-1366
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Cincinnati College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8244 E US Hwy 36
Suite 1220
Avon, IN 46123-9613
Phone (317) 272-1366
8244 E US Hwy 36 1220
Avon, IN 46123-9613
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 192 |
| Removal of skin lesions | 735 |
| Skin biopsy | 821 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Dermatology PC | Dermatology | Current | Accepting new patients |
Locations
8244 E US Highway 36
Ste 1220
Avon, IN 46123
Phone (317) 272-1366
Interoperability endpoints
- drnathan@compderm.azalea.phimailbox.com
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.
-
- Dermatology Physician
- Avon, IN
- NPI 1689660946
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danville, IN
- NPI 1669475950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1619963998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8244 E US HIGHWAY 36",
"address_2": "SUITE 1220",
"city": "AVON",
"state": "IN",
"postal_code": "461239613",
"telephone_number": "317-272-1366",
"fax_number": "317-272-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8244 E US HIGHWAY 36",
"address_2": "SUITE 1220",
"city": "AVON",
"state": "IN",
"postal_code": "461239613",
"telephone_number": "317-272-1366",
"fax_number": "317-272-1388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "DAVID",
"middle_name": "LEVI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "01051097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.