NPIMap

Individual provider Active NPI

Nathaniel Lloyd Kister, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charleston, WV
National Provider Identifier
1629239413
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
28368 Issued in WV
Practice address
3100 Maccorkle Ave SE
Suite 301
Charleston, WV 25304-1223
Phone
(304) 388-5395
Fax
(304) 388-5398
NPI assigned
Jun 24, 2008
Last updated
Dec 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 28368 WV Primary

Addresses

Primary practice location

3100 Maccorkle Ave SE
Suite 301
Charleston, WV 25304-1223

Mailing address

3100 Maccorkle Seave 301
Charleston, WV 25304-1229
Phone (304) 388-5395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723007270 WV Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 4981917697 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
West Virginia University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)38
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28368WVMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn Inc. CurrentSince Oct 28, 2025 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Dec 1, 2015 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 30, 2023 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Oct 28, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 30, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Dec 1, 2015 Accepting new patients
Camden-Clark Physician Corporation CurrentSince May 19, 2025 Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
West Virginia University Hospitals, Inc Past Accepting new patients

Locations

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

3100 Maccorkle Ave SE
Ste 301
Charleston, WV 25304
Phone (304) 344-2345

415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1629239413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE SEAVE 301",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041229",
            "telephone_number": "304-388-5395",
            "fax_number": "304-388-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE",
            "address_2": "SUITE 301",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041223",
            "telephone_number": "304-388-5395",
            "fax_number": "304-388-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTER",
        "first_name": "NATHANIEL",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WV",
            "license": "28368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.