NATHANIEL HOLMES MD
NPI 1801868187
Surgery in Staten Island, NY
About Nathaniel Holmes Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHANIEL HOLMES MD (NPI 1801868187) is an individual surgery provider in Staten Island, New York, licensed in New Jersey (208C00000X) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and maintains a secondary practice location in Jersey City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Nathaniel Holmes Md 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 Nathaniel Holmes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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 6
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.
Raritan Bay Medical Center
Acute Care Hospitals · Perth Amboy, NJBayshore Medical Center
Acute Care Hospitals · Holmdel, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10305 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 6
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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 Holmes's NPI number?
The NPI number for Nathaniel Holmes is 1801868187. It was assigned to this individual provider in the NPPES registry on February 2, 2006.
Where is Nathaniel Holmes located?
Nathaniel Holmes practices at 256 Mason Ave # C, Staten Island, NY 10305. The listed phone number is (718) 226-6398.
What is Nathaniel Holmes's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Nathaniel Holmes enrolled in Medicare?
Yes. Nathaniel Holmes 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 Nathaniel Holmes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Holmes reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and North Shore - Lij Medical PC (New Hyde Park, 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 Nathaniel Holmes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathaniel Holmes accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nathaniel Holmes 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 Holmes affiliated with any hospitals?
According to CMS data, Nathaniel Holmes is affiliated with Raritan Bay Medical Center and Bayshore Medical Center.
When was this NPI record last updated?
The NPPES record for Nathaniel Holmes was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Nathaniel Holmes, MD · NPI 1801868187
Surgery physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since February 2, 2006.
## Identity
- **NPI:** 1801868187 (Entity type: Individual)
- **Enumerated:** February 2, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 208C00000X (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 256 MASON AVE # C, Staten Island, NY 10305-3408
- **Phone:** (718) 226-6398 · **Fax:** (718) 226-1247
## 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): Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1801868187) · Data from the CMS NPPES public registry.