Active NPI
Nirmal Nathan, M.D.
- Plastic Surgery Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME119706
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A111154 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nirmal R. Nathan, M.D., P.a. | Plastic Surgery | Current | 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.
-
- Plastic Surgery Physician
- Miami, FL
- NPI 1659760460
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.