Nathan Ray Bartholomew, DO
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Kingman, AZ
NPI 1669961157 · NPPES record last updated Dec 23, 2020
Key facts
- NPI
- 1669961157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- 008313 (AZ)
- Practice address
- 3269 N Stockton Hill Rd
Kingman, AZ 86409-3619 - Phone
- (928) 757-2101
- NPI assigned
- May 9, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Usacs Emergency Medicine of Arizona LLC
Northwest HBP Medical Services LLC
Tec Emergency Physicians of Arizona, LLC
Practice addresses (Care Compare)
1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (480) 358-6100
2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (520) 543-6100
5125 S Rural Rd
Tempe, AZ 85282-7008
Phone (888) 732-3317
Hospital & facility affiliations
- Honorhealth Four Peaks Medical Center
- Northwest Medical Center
- Honorhealth Tempe Medical Center
- Dignity Health Arizona General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 81.6
- Improvement activities
- 40
- Cost
- 77.61
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210202001608 | AZ | Practitioner - Emergency Medicine | 4284048208 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America- Arizona, PC | Emergency Medicine | Current | Accepting new patients |
| Tec Emergency Physicians of Arizona, LLC | Current |
Accepting new patients | |
| Northwest HBP Medical Services LLC | Emergency Medicine | Current |
Accepting new patients |
| Usacs Emergency Medicine of Arizona, LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Physicians Southwest, PC | Emergency Medicine | Current |
Accepting new patients |
| Progressive Medical Associates PLLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America-Arizona, PC | Emergency Medicine | Current |
Accepting new patients |
| Cep America - Arizona PC | Emergency Medicine | Current |
Accepting new patients |
Locations
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780
1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500
2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 008313 | AZ | Yes |
Addresses
Primary practice location
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Mailing address
3118 Southern Ave
Kingman, AZ 86401-5382
Phone (801) 310-1288
Other providers in Kingman, AZ
- Jeremy Gabriel Barnes
- Richard Ray Barnes II
- Barnet Dulaney Perkins Eye Center
- Earlene Barneycastle
- Kaylene Barrus
- Anne Marie Bathauer
- Battle Born Anesthesia Associates LTD
- Cortney Dawn Bautista
- Mary Lee Beck
- Jacob Daniel Beckstrand
All providers in Kingman, AZ · Emergency Medical Services (Emergency Medicine) Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.