1. Home
  2. Directory
  3. Virginia
  4. Alexandria
  5. Otolaryngology
  6. NPI Profile

MICHAEL JAY NATHAN M.D.
NPI 1174614655
Otolaryngology in Alexandria, VA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
2616 SHERWOOD HALL LN, SUITE 411, ALEXANDRIA, VA 22306(703) 780-5073 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Jay Nathan M.d. NPPES

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

MICHAEL JAY NATHAN M.D. (NPI 1174614655) is an individual otolaryngology provider in Alexandria, Virginia, licensed in Virginia (0101042969) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Maryland Medical College (1982).

NPPES Registry Identity

NPI1174614655
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMICHAEL JAY NATHANCredential: M.D.
Location Address2616 SHERWOOD HALL LN, SUITE 411Alexandria, VA 22306-3100
Mailing Address2616 Sherwood Hall Ln, Suite 411Alexandria, VA 22306-3100 · (703) 780-5073
Phone(703) 780-5073
Sole ProprietorNo
Medical School CMSMaryland Medical CollegeGraduated 1982
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174614655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in VA · 0101042969
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2616 SHERWOOD HALL LN, Alexandria, VA 22306
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified170190VA
Medicare UPINC59427VA

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

Michael Jay Nathan 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 ID345140224
PECOS Enrollment IDI20040109000095, I20141222001377
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 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
245 services180 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
216 services15 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
176 services119 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services127 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
137 services15 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
137 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22306 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
83%1,297 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%1,452 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
21%2,665 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%2,665 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
16%2,665 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
32%2,665 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier12 claims360 services$1.99 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims360 services$4.40 avg. paid by Medicare
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each A7520
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$45.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LATOYA SIMON ASHER DPT
Physical Therapist
2616 SHERWOOD HALL LN, SUITE 104
ALEXANDRIA, VA 22306
Fairfax County (703) 704-5771
ALLIANCE REHABILITATION, LLC
Physical Therapist
2616 SHERWOOD HALL LN, STE 104
ALEXANDRIA, VA 22306
Fairfax County (703) 704-5771
PRIMARY CARE DOCTORS GROUP,PC
Internal Medicine
2616 SHERWOOD HALL LN, SUITE 303
ALEXANDRIA, VA 22306
Fairfax County (703) 799-1118
THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE
Obstetrics & Gynecology
2616 SHERWOOD HALL LN, SUITE 208
ALEXANDRIA, VA 22306
Fairfax County (703) 780-6900
HEALTH AND WELLNESS GROUP, PLLC
Chiropractor
2616 SHERWOOD HALL LN, SUITE 101
ALEXANDRIA, VA 22306
Fairfax County (703) 619-1002
MARY HELEN HILL MD PLC
Surgery
2616 SHERWOOD HALL LN, SUITE 105
ALEXANDRIA, VA 22306
Fairfax County (703) 360-2332
MYRIAM URRUTIA-EDER, M.D., P.C.
Specialist
2616 SHERWOOD HALL LN, SUITE 203
ALEXANDRIA, VA 22306
Fairfax County (703) 360-0594
DR. ALADDIN BOLAD MD
Internal Medicine
2616 SHERWOOD HALL LN, SUITE 303
ALEXANDRIA, VA 22306
Fairfax County (703) 799-1118

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 Michael Nathan's NPI number?

The NPI number for Michael Nathan is 1174614655. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Michael Nathan located?

Michael Nathan practices at 2616 Sherwood Hall Ln Suite 411, Alexandria, VA 22306. The listed phone number is (703) 780-5073.

What is Michael Nathan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Michael Nathan enrolled in Medicare?

Yes. Michael 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.

Is Michael Nathan affiliated with any hospitals?

According to CMS data, Michael Nathan is affiliated with Inova Alexandria Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Michael Nathan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.