NEIL J NATHAN MD
NPI 1174510788
Family Medicine in Santa Rosa, CA
About Neil J Nathan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEIL J NATHAN MD (NPI 1174510788) is an individual family medicine provider in Santa Rosa, California, licensed in Missouri (R5C40) and active in the NPI registry since September 2005. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Neil J Nathan Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2015 through April 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Neil Nathan's NPI number?
The NPI number for Neil Nathan is 1174510788. It was assigned to this individual provider in the NPPES registry on September 29, 2005.
Where is Neil Nathan located?
Neil Nathan practices at 3471 Regional Pkwy, Santa Rosa, CA 95403. The listed phone number is (707) 575-5180.
What is Neil Nathan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Neil Nathan enrolled in Medicare?
No. Neil Nathan has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Neil Nathan was last updated on April 1, 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.
# Neil J Nathan, MD · NPI 1174510788
Family Medicine physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since September 29, 2005.
## Identity
- **NPI:** 1174510788 (Entity type: Individual)
- **Enumerated:** September 29, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** R5C40 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3471 REGIONAL PKWY, Santa Rosa, CA 95403-8209
- **Phone:** (707) 575-5180
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** April 1, 2009
- **Other identifiers:** Other P00140692; Medicare UPIN D75824; Medicare ID-Type Unspecified 942520115
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Source: [NPI Profile](https://npiprofile.com/npi/1174510788) · Data from the CMS NPPES public registry.