NATHANIEL RICHARD DEFELICE M.D. NPI 1366761496

Internal Medicine (Critical Care Medicine) in Sacramento, CA

NPI 1366761496 Individual Male Years of Experience 12 Internal Medicine Critical Care Medicine PECOS Enrolled Accepts Medicare Approved Payment

About NATHANIEL DEFELICE

Nathaniel Defelice is an internal medicine provider established in Sacramento, California and his medical specialization is internal medicine (critical care medicine) with more than 12 years of experience. The NPI number of Nathaniel Defelice is 1366761496 and was assigned on May 2010. The practitioner's primary taxonomy code is 207RC0200X with license number A129005 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

An internist like Nathaniel Richard Defelice M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Nathaniel Defelice is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Nathaniel Defelice is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Mercy San Juan Medical Center and Sutter Roseville Medical Center.

NPI

1366761496

Provider Name NATHANIEL RICHARD DEFELICE M.D.
Provider Location Address1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816
Provider Mailing Address1300 ETHAN WAY STE 600 SACRAMENTO, CA 95825
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2010
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-28-2010
Last Update Date10-19-2020


Primary Taxonomy

Taxonomy Code207RC0200X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCritical Care Medicine
License No.A129005
License StateCA
Taxonomy DescriptionAn internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Business Address

NATHANIEL RICHARD DEFELICE M.D.
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA
ZIP 95816
Phone: (916) 679-3590
Fax: (916) 482-3647

Get Directions


Mailing Address

NATHANIEL RICHARD DEFELICE M.D.
1300 ETHAN WAY STE 600
SACRAMENTO, CA
ZIP 95825
Phone: (916) 679-3513
Fax: (916) 679-3563



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2769617851
PECOS Enrollment IDI20160920001798
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nathaniel Defelice is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MERCY SAN JUAN MEDICAL CENTER6501 COYLE AVE
CARMICHAEL, CA 95608
(916) 537-5000Acute Care Hospitals50516
SUTTER ROSEVILLE MEDICAL CENTERONE MEDICAL PLAZA
ROSEVILLE, CA 95661
(916) 781-1000Acute Care Hospitals50309

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine129005CANo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseA129005CANo

Taxonomy Description: an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912949132 RICHARD THOMAS KIM M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1730124520 DANIEL PHILIP IKEDA M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1689600553 MUHAMMAD AFZAL M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1063458495 RICHARD DAVID DEFELICE M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1831127570DR. IMRAN AURANGZEB M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1811927429 GHOLAMHOSSAIN HAYAT M.D.
Individual
Internal Medicine (Pulmonary Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1861418543 ALAN RUSSELL YEE M.D.
Individual
Internal Medicine (Pulmonary Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1255359378PULMONARY MEDICINE ASSOCIATES SLEEP LAB INC.
Organization
Clinic/Center (Sleep Disorder Diagnostic)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1558385997DR. KAPIL DHAWAN M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1093912958DR. SAMAN HAYATDAVOUDI M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1003001645 VINOD TRIVEDI MD
Individual
Internal Medicine (Infectious Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1750561452DR. BRADLEY WAYNE SCHROEDER MD, PHD
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1356506372DR. BRETT RYAN LAURENCE MD
Individual
Internal Medicine (Infectious Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1063731966DR. NATHANIEL GORDON MD
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1831456086DR. MANDEEP KAUR GREWAL M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1437781416 ANDREA M DEFELICE NP
Individual
Nurse Practitioner (Acute Care)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1417184078DR. RAVNEET RIAR M.D.
Individual
Internal Medicine (Pulmonary Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1366061285 DEWAYNE LEE CECIL
Individual
Nurse Practitioner (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1326420043 HIMA BINDU VENIGANDLA D.O.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1851788665 SEAN M GUNTHER MAHER MD
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.