1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Surgery
  6. NPI Profile

NANDAN NATH M.D.
NPI 1225443393
Surgery - Vascular Surgery in Milwaukee, WI

Active since June 26, 2014PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215(414) 385-2429 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2026, Mar 30, 2026, Jan 12, 2023 and 1 more (4 updates tracked since 2021).

About Nandan Nath M.d. NPPES

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

NANDAN NATH M.D. (NPI 1225443393) is an individual vascular surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (103674-875) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1225443393
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameNANDAN NATHCredential: M.D.
Location Address2801 W KINNICKINNIC RIVER PKWYMilwaukee, WI 53215-3669
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 385-2429
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2014
Enumeration DateJune 26, 2014
Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1225443393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in WI · 103674-875✔ Licensed in PA · MT206680✔ Licensed in FL · ME150750
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 036173270 (IL)
2801 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 549-0815 · Fax (321) 768-0039
Location 212251 S 80th Ave Ste 1520Palos Heights, IL 60463-1290 · Phone (708) 923-4200 · Fax (708) 923-4201
Location 3200 Lothrop St, Suite A-1011Pittsburgh, PA 15213-2536 · Phone (412) 802-3034
Location 4410 Celebration Pl Ste 302Celebration, FL 34747-5435 · Phone (407) 303-4000

Other Identifiers 3

Medicaid100416249WI
Medicaid111588100FL
OtherW8300FL · Hfmg

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Nandan Nath 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 ID6103220702
PECOS Enrollment IDI20210804000881, I20260601000036
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

3

Medicare enrollment records show Nandan Nath reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.
0.4 mi
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544
Florida Hospital Medical Group Inc
1,061 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Health First Medical Group, LLC
1,105 mi
General Practice
1223 GATEWAY DR
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 773 clinicians in this Medicare group
NPI 1750626495 (321) 434-5055

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 11

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.
137 services91 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
94 services87 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
36 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 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.
35 services25 patients
Ultrasound of hemodialysis access 93990
An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.
25 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

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.

CARRIE S BILICKI RN
Registered Nurse
2801 W KINNICKINNIC RIVER PKWY, STE 525
MILWAUKEE, WI 53215
Milwaukee County (414) 385-2630
BRIANNA CECELIA MURPHY PA-C
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Milwaukee County (414) 646-9820
DR. PAUL S BERNSTEIN
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, 840
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3530
DR. PRAKASH D SHAH M.D.
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, STE 840
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3530
M CHRISTINE GIEBEL PA-C
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY, SUITE 345
MILWAUKEE, WI 53215
Milwaukee County (414) 385-2700
ROBERT A. DIULIO M.D.
Orthopaedic Surgery
2801 W KINNICKINNIC RIVER PKWY, SUITE 575
MILWAUKEE, WI 53215
Milwaukee County (414) 643-8800
CHRISTINE A KENYON LAUNDRE M.D.
Anesthesiology
2801 W KINNICKINNIC RIVER PKWY, SUITE 453
MILWAUKEE, WI 53215
Milwaukee County (414) 385-2380
JODI L ZILINSKI M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
2801 W KINNICKINNIC RIVER PKWY, SUITE 777
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3390

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 Nandan Nath's NPI number?

The NPI number for Nandan Nath is 1225443393. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Nandan Nath located?

Nandan Nath practices at 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215. The listed phone number is (414) 385-2429.

What is Nandan Nath's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Nandan Nath enrolled in Medicare?

Yes. Nandan Nath 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 Nandan Nath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nandan Nath reassigns Medicare benefits to 3 organizations: Aurora Medical Group, Inc. (Milwaukee, WI), Florida Hospital Medical Group Inc (Orlando, FL) and Health First Medical Group, LLC (Melbourne, FL). 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 Nandan Nath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nandan Nath accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers list Nandan Nath 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 Nandan Nath affiliated with any hospitals?

According to CMS data, Nandan Nath is affiliated with Holmes Regional Medical Center, Palos Community Hospital and Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Nandan Nath was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.