DR. NATHAN MICHEAL RICHARD ROYAL M.D.
NPI 1134577992
Anesthesiology in Charleston, SC

Q: What is Nathan Royal's NPI number?

The NPI number for Nathan Royal is 1134577992. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Q: What is Nathan Royal's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Royal was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment

82.43/100

CMS Quality Rating

9263 MEDICAL PLAZA DR STE E, CHARLESTON, SC 29406(843) 572-1228 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Nathan Micheal Richard Royal M.d. NPPES

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

DR. NATHAN MICHEAL RICHARD ROYAL M.D. (NPI 1134577992) is an individual anesthesiology provider in Charleston, South Carolina, licensed in South Carolina (85732) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2016).

NPPES Registry Identity

NPI1134577992

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. NATHAN MICHEAL RICHARD ROYALCredential: M.D.

Location Address9263 MEDICAL PLAZA DR STE ECharleston, SC 29406-7112

Mailing Address9263 Medical Plaza Dr Ste ECharleston, SC 29406-7112 · (843) 572-1228

Phone(843) 572-1228

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2016

Enumeration DateJune 1, 2016

Last NPPES UpdateAugust 2, 2021

NPPES CertifiedAugust 2, 2021

✔ NPI 1134577992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in SC · 85732

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedSurgeryTaxonomy 208600000X · License 008277 (GA)

9263 MEDICAL PLAZA DR STE E, Charleston, SC 29406

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Dr. Nathan Micheal Richard Royal 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 ID5395095525

PECOS Enrollment IDI20210629002115

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

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

Palmetto Anesthesia Of Charleston, LLC

Same address

Anesthesiology

9263 MEDICAL PLAZA DR, STE E
Charleston, SC 29406

Reassigned Medicare billing, South Carolina enrollment
21 clinicians in this Medicare group

NPI 1265484422 (843) 572-1228

Trident Anesthesia Group, LLC

0.1 mi

Anesthesiology

9263 MEDICAL PLAZA DR., STE E
Charleston, SC 29406

Reassigned Medicare billing, South Carolina enrollment
154 clinicians in this Medicare group

NPI 1376595520 (843) 572-1228

Coastal Anesthesia Associates, LLC

15 mi

Anesthesiology

14 BROUGHTON RD
Charleston, SC 29407

Reassigned Medicare billing, South Carolina enrollment
77 clinicians in this Medicare group

NPI 1942252176 (843) 553-7070

Atlantic Coast Anesthesia Services P.C.

90 mi

Anesthesiology

809 82ND PKWY
Myrtle Beach, SC 29572

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Atlantic Coast Anesthesia Services PC
258 clinicians in this Medicare group

NPI 1932641313 (843) 692-1000

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 18

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

34 services34 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

23 services23 patients

Anesthesia for other procedure on urinary system through urethra 00910

Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.

21 services21 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

21 services21 patients

Anesthesia for retinal surgery 00145

Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).

20 services19 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

18 services18 patients

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

18 services18 patients

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415

This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.

18 services18 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

16 services16 patients

Anesthesia for total hip replacement 01214

Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.

15 services15 patients

Anesthesia for other procedure or exam of knee joint using an endoscope 01400

Anesthesia for a knee joint procedure or exam using an endoscope involves administering medication to numb the area or put you in a sleep-like state. This ensures you don't feel pain during the procedure. The endoscope, a thin tube with a camera, allows the doctor to view the knee joint internally without making large incisions.

15 services15 patients

Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300

Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.

14 services14 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

14 services14 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

13 services13 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

12 services12 patients

Anesthesia for other repair of lower abdomen hernia (1 year or older) 00830

Anesthesia for lower abdomen hernia repair in individuals aged 1 year or older involves administering medication to ensure you don't feel pain during the procedure. It can be either general (you're asleep) or regional (numbs a large area). It's safe and monitored by professionals.

11 services11 patients

Anesthesia for other procedure on lower abdomen 00840

Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.

11 services11 patients

Anesthesia for procedure on upper 2/3rd of thigh bone 01230

Anesthesia for a procedure on the upper 2/3rd of the thigh bone involves administering medication to numb the area or make you unconscious, ensuring you don't feel pain during the operation. It's a safe and routine part of surgical procedures.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

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.

82.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.03

Promoting Interoperability

100

Improvement Activities

Cost

59.4

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DREW P CARDWELL SRNA

Nurse Anesthetist, Certified Registered