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BOOMI NATHAN MD
NPI 1063540615
Family Medicine in Cordova, TN

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
96.92/100
CMS Quality Rating
8366 TRONDHEIM DR, CORDOVA, TN 38018(901) 428-0694(901) 755-0559 Get Directions Write a Review

NPPES record last updated: February 17, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Boomi Nathan Md NPPES

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

BOOMI NATHAN MD (NPI 1063540615) is an individual family medicine provider in Cordova, Tennessee, licensed in Arkansas (E-5585) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063540615
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBOOMI NATHANCredential: MD
Location Address8366 TRONDHEIM DRCordova, TN 38018-4376
Mailing Address8366 Trondheim DrCordova, TN 38018-4376 · (901) 428-0694 · Fax (901) 755-0559
Phone(901) 428-0694
Fax(901) 755-0559
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 2, 2007
Last NPPES UpdateFebruary 17, 2009
✔ NPI 1063540615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E-5585
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8366 TRONDHEIM DR, Cordova, TN 38018
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Other Identifiers 1

Medicare PIN5H295F445AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Boomi Nathan Md 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 ID7315014511
PECOS Enrollment IDI20080929000750
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Boomi Nathan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Arkansas Emergency Physicians, PLLC
41 mi
Emergency Medicine
611 W LEE AVE
Osceola, AR 72370
  • Reassigned Medicare billing, Arkansas enrollment
  • 102 clinicians in this Medicare group
NPI 1043553860 (870) 563-7000
Forrest City Emergency Physicians PLLC
57 mi
Emergency Medicine
1601 NEW CASTLE RD
Forrest City, AR 72335
  • Reassigned Medicare billing, Arkansas enrollment
  • 68 clinicians in this Medicare group
NPI 1497080501 (904) 805-1300
Wh Services Arkansas, LLC
57 mi
Emergency Medicine
1601 NEW CASTLE RD
Forrest City, AR 72335
  • Reassigned Medicare billing, Arkansas enrollment
  • 30 clinicians in this Medicare group
NPI 1952135949 (469) 364-3333
Rh Arkansas Emergency Medicine, PLLC
57 mi
Emergency Medicine
1520 N DIVISION ST
Blytheville, AR 72315
  • Reassigned Medicare billing, Arkansas enrollment
  • 33 clinicians in this Medicare group
NPI 1801643499 (870) 838-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
210 services192 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
172 services162 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
170 services153 patients
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.
52 services48 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38018 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.14
Improvement Activities40
Cost78.74

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 Boomi Nathan's NPI number?

The NPI number for Boomi Nathan is 1063540615. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Boomi Nathan located?

Boomi Nathan practices at 8366 Trondheim Dr, Cordova, TN 38018. The listed phone number is (901) 428-0694.

What is Boomi Nathan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Boomi Nathan enrolled in Medicare?

Yes. Boomi Nathan 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.

Which organizations bill Medicare for Boomi Nathan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Boomi Nathan reassigns Medicare benefits to 4 organizations: East Arkansas Emergency Physicians, PLLC (Osceola, AR), Forrest City Emergency Physicians PLLC (Forrest City, AR), Wh Services Arkansas, LLC (Forrest City, AR) and Rh Arkansas Emergency Medicine, PLLC (Blytheville, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Boomi Nathan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Boomi Nathan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Boomi Nathan 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.

When was this NPI record last updated?

The NPPES record for Boomi Nathan was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.