NANA DATAN M.D
NPI 1457791394
Internal Medicine in Glen Cove, NY
About Nana Datan M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANA DATAN M.D (NPI 1457791394) is an individual internal medicine provider in Glen Cove, New York, licensed in New York (285751-1) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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
Nana Datan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nana Datan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lenox Hill Hospital
Acute Care Hospitals · New York, NYNorthern Westchester Hospital
Acute Care Hospitals · Mount Kisco, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11542 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
GLEN COVE, NY 11542
GLEN COVE, NY 11542
GLEN COVE, NY 11542
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 Nana Datan's NPI number?
The NPI number for Nana Datan is 1457791394. It was assigned to this individual provider in the NPPES registry on June 25, 2013.
Where is Nana Datan located?
Nana Datan practices at 101 Saint Andrews Ln, Glen Cove, NY 11542. The listed phone number is (516) 674-7300.
What is Nana Datan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nana Datan enrolled in Medicare?
Yes. Nana Datan 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 Nana Datan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nana Datan reassigns Medicare benefits to 2 organizations: North Shore-Lij Medical PC (Great Neck, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). 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 Nana Datan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nana Datan affiliated with any hospitals?
According to CMS data, Nana Datan is affiliated with Lenox Hill Hospital and Northern Westchester Hospital.
When was this NPI record last updated?
The NPPES record for Nana Datan was last updated on July 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Nana Datan, M.D · NPI 1457791394
Internal Medicine physician in Glen Cove, New York. Individual provider, active in the CMS NPPES registry since June 25, 2013.
## Identity
- **NPI:** 1457791394 (Entity type: Individual)
- **Enumerated:** June 25, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 285751-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 SAINT ANDREWS LN, Glen Cove, NY 11542-2254
- **Phone:** (516) 674-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 10, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1457791394) · Data from the CMS NPPES public registry.