Individual provider Active NPI

Nathan Hamadeh Cofrancisco, MD

  • Hospitalist Physician
  • Jefferson City, MO
National Provider Identifier
1730102112
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2024047934 Issued in MO
Practice address
1125 Madison St
Jefferson City, MO 65101-5227
Phone
(573) 632-5000
Fax
(573) 634-2033
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 2024047934 MO
Hospitalist Physician 208M00000X 2024047934 MO Primary

Addresses

Primary practice location

1125 Madison St
Jefferson City, MO 65101-5227

Mailing address

721 Parkman Dr
Bear, DE 19701-4953
Phone (302) 367-6672

Other practice location 1

4755 Ogletown Stanton Rd
Newark, DE 19718-4324
Phone (302) 733-1000

Other identifiers 1

IdentifierTypeStateIssuer
P00275752OtherMDMEDICARE RAILROAD

Other names 1

  • M A Hamadeh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090513000250 DE Practitioner - HospitalistPractitioner - Internal Medicine 2769417906 Reassigns benefits to 3 organizations
I20240605002606 WI Practitioner - Hospitalist 2769417906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince May 23, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince May 23, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 2, 2019 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Jan 2, 2019 Accepting new patients
Apogee Medical Group, Delaware, Inc Internal Medicine CurrentSince Sep 15, 2022 Accepting new patients
Beebe Physician Network Inc. Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Upper Chesapeake Medical Services, Inc Hospitalist Past Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

640 S State St
Dover, DE 19901
Phone (302) 744-4700

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

400 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 465-3000

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: nghamade@yourcarecommunity.org

Organizations & group practices 9

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1730102112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 PARKMAN DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197014953",
            "telephone_number": "302-367-6672",
            "fax_number": "810-398-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MADISON ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015227",
            "telephone_number": "573-632-5000",
            "fax_number": "573-634-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197184324",
            "country_code": "US",
            "telephone_number": "302-733-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFRANCISCO",
        "first_name": "NATHAN",
        "middle_name": "HAMADEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2024047934",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2024047934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00275752",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "HAMADEH",
            "middle_name": "A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.