Individual provider Active NPI

Elie Tony Nader, MD

  • Pulmonary Disease Physician
  • Norton, VA
National Provider Identifier
1639302151
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101260062 Issued in VA
Practice address
98 15TH St NW
Ste 201a
Norton, VA 24273-1600
Phone
(276) 439-1490
Fax
(276) 439-1495
NPI assigned
Sep 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101260062 VA
Pulmonary Disease Physician 207RP1001X 0101260062 VA Primary

Addresses

Primary practice location

98 15TH St NW
Ste 201a
Norton, VA 24273-1600

Mailing address

98 15TH St NW
Ste 201a
Norton, VA 24273-1600
Phone (276) 439-1490

Other identifiers 1

IdentifierTypeStateIssuer
1639302151MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160815000459 VA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4789836248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Community Physician Services LLCGroup PAC ID 1557431665, 29 clinicians

Practice addresses (Care Compare)

100 15TH St NW
Suite 307
Norton, VA 24273-1616
Phone (276) 439-1140

Hospital & facility affiliations

  • Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114
  • Lee County Community Hospital Hospital, Pennington Gap, VA, CCN 491309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101260062VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Community Physician Services LLC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Norton Community Physician Services LLC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients

Locations

98 15th St NW
Ste 207A
Norton, VA 24273
Phone (276) 439-1490

100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140

98 15th St NW
Ste 208
Norton, VA 24273
Phone (276) 679-7600

98 15th St NW
Ste 201A
Norton, VA 24273
Phone (276) 439-1490

Organizations & group practices 2

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 2

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1639302151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 15TH ST NW",
            "address_2": "STE 201A",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731600",
            "telephone_number": "276-439-1490",
            "fax_number": "276-439-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 15TH ST NW",
            "address_2": "STE 201A",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731600",
            "telephone_number": "276-439-1490",
            "fax_number": "276-439-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADER",
        "first_name": "ELIE",
        "middle_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101260062",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101260062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639302151",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.