Individual provider Active NPI

Nirmal Nathan, M.D.

  • Plastic Surgery Physician
  • Miami, FL
National Provider Identifier
1992032544
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME119706 Issued in FL
Practice address
4770 Biscayne Blvd Ste 830
Miami, FL 33137-3232
Phone
(305) 680-5121
NPI assigned
Nov 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A111154 CA
Plastic Surgery Physician 208200000X ME119706 FL Primary

Addresses

Primary practice location

4770 Biscayne Blvd Ste 830
Miami, FL 33137-3232

Mailing address

4770 Biscayne Boulevard, Suite 830
Miami, FL 33137
Phone (305) 680-5121

Other practice location 1

12600 Pembroke Rd Ste 312
Miramar, FL 33027-2544
Phone (305) 680-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160315002897 FL Practitioner - Plastic and Reconstructive Surgery 3375849425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4770 Biscayne Blvd
Suite 830
Miami, FL 33137-3232
Phone (305) 530-8880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111154CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nirmal R. Nathan, M.D., P.a. Plastic Surgery CurrentSince Nov 18, 2024 Accepting new patients

Locations

4770 Biscayne Blvd
Ste 830
Miami, FL 33137
Phone (305) 530-8880

205 SW 84th Ave
Plantation, FL 33324
Phone (954) 382-5570

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.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1992032544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BOULEVARD, SUITE 830",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33137",
            "telephone_number": "305-680-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 830",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373232",
            "telephone_number": "305-680-5121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12600 Pembroke Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330272544",
            "country_code": "US",
            "telephone_number": "305-680-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "NIRMAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A111154",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME119706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.