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DR. NATHANIEL WESTPHAL M.D.
NPI 1003341496
Internal Medicine - Critical Care Medicine in Toledo, OH

Active since April 24, 2017PECOS EnrolledAccepts Medicare Assignment
2142 N COVE BOULEVARD, DEPARTMENT OF ANESTHESIA TOLEDO CRITICAL CARE, TOLEDO, OH 43604(419) 291-1111(419) 479-3253 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2023, Jul 21, 2022, Apr 24, 2017 (3 updates tracked since 2017).

About Dr. Nathaniel Westphal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NATHANIEL WESTPHAL M.D. (NPI 1003341496) is an individual critical care medicine provider in Toledo, Ohio, licensed in Ohio (35.145725) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Medical College Of Ohio (2017).

NPPES Registry Identity

NPI1003341496
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. NATHANIEL WESTPHALCredential: M.D.
Location Address2142 N COVE BOULEVARD, DEPARTMENT OF ANESTHESIA TOLEDO CRITICAL CAREToledo, OH 43604
Mailing Address333 N Summit St Fl 7Toledo, OH 43604-1531
Phone(419) 291-1111
Fax(419) 479-3253
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 2017
Enumeration DateApril 24, 2017
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
✔ NPI 1003341496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in OH · 35.145725
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 227190 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2142 N COVE BOULEVARD, Toledo, OH 43604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nathaniel Westphal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800167602
PECOS Enrollment IDI20220728001814
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
73 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Westphal's NPI number?

The NPI number for Nathaniel Westphal is 1003341496. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Nathaniel Westphal located?

Nathaniel Westphal practices at 2142 N Cove Boulevard Department Of Anesthesia Toledo Critical Care, Toledo, OH 43604. The listed phone number is (419) 291-1111.

What is Nathaniel Westphal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Nathaniel Westphal enrolled in Medicare?

Yes. Nathaniel Westphal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nathaniel Westphal accept?

Health plans from CareSource and Priority Health list Nathaniel Westphal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nathaniel Westphal affiliated with any hospitals?

According to CMS data, Nathaniel Westphal is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Nathaniel Westphal was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.