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NATHANIEL S DOE M.D.
NPI 1275504094
Internal Medicine - Nephrology in Youngstown, OH

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
1340 BELMONT AVE, SUITE 2300, YOUNGSTOWN, OH 44504(330) 746-1488(330) 746-5611 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathaniel S Doe M.d. NPPES

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

NATHANIEL S DOE M.D. (NPI 1275504094) is an individual nephrology provider in Youngstown, Ohio, licensed in Ohio (35063443D) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1275504094
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNATHANIEL S DOECredential: M.D.
Location Address1340 BELMONT AVE, SUITE 2300Youngstown, OH 44504-1125
Mailing Address1340 Belmont Ave, Suite 2300Youngstown, OH 44504-1125 · (330) 746-1488 · Fax (330) 746-5611
Phone(330) 746-1488
Fax(330) 746-5611
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJanuary 30, 2006
Last NPPES UpdateApril 3, 2014
✔ NPI 1275504094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in OH · 35063443D✔ Licensed in PA · MD056504L
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1340 BELMONT AVE, Youngstown, OH 44504
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified809059KOSPA
Medicare ID-Type UnspecifiedDO0784102OH
Medicaid01537577PA
Medicare UPINF79307OH
Medicaid979919OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

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

Nathaniel S Doe 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 ID345223590
PECOS Enrollment IDI20040609001289, I20120222000315
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 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.

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.
554 services160 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.
196 services155 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
176 services28 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
142 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
96 services85 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
74 services58 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers21 claims2,520 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,320 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers27 claims27 services$18.25 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers16 claims16 services$11.91 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 15

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

DONALD JOSEPH TAMULONIS JR. MD
Psychiatry & Neurology (Neurology)
1340 BELMONT AVE, SUITE 2200
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7400
ADVANCED NEUROLOGY ASSOCIATES INC
Neuromusculoskeletal Medicine & OMM
1340 BELMONT AVE, SUITE 2200
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7400
LEONIDAS G VASSILAROS M.D.
Internal Medicine (Nephrology)
1340 BELMONT AVE, SUITE 2300
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-1488
RENEE SFERRA CNS
Clinical Nurse Specialist (Adult Health)
1340 BELMONT AVE, SUITE 2200
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7400
SHERIF A SOLIMAN M.D.
Internal Medicine (Nephrology)
1340 BELMONT AVE, SUITE 2300
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-1488
PHYSICIANS DIALYSIS COMPANY, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1340 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-2860
JESSE V MCCLAIN CNS
Clinical Nurse Specialist (Adult Health)
1340 BELMONT AVE, STE 2200
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7400
AUGUSTINE P BISCARDI D.O.
Internal Medicine (Nephrology)
1340 BELMONT AVE, SUITE 2300
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-1488

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 Nathaniel Doe's NPI number?

The NPI number for Nathaniel Doe is 1275504094. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Nathaniel Doe located?

Nathaniel Doe practices at 1340 Belmont Ave Suite 2300, Youngstown, OH 44504. The listed phone number is (330) 746-1488.

What is Nathaniel Doe's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nathaniel Doe enrolled in Medicare?

Yes. Nathaniel Doe 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.

What insurance does Nathaniel Doe accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Nathaniel Doe 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 Nathaniel Doe affiliated with any hospitals?

According to CMS data, Nathaniel Doe is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Hmhp St Elizabeth Boardman Health Center, Meadville Medical Center and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Nathaniel Doe was last updated on April 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.