DR. NATHAN ANDREW THOLL (M.D.) – Family Medicine Physician, NPI 1124480165

DR. NATHAN ANDREW THOLL (M.D.) is a healthcare provider. based in Phoenix, Arizona. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 58585 (AZ). The NPI Number for DR. NATHAN ANDREW THOLL (M.D.) is 1124480165

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHAN ANDREW THOLL (M.D.)
NPI
1124480165
Phone
Not provided
Address
PO BOX 52696
Enumeration Date
28 March 2016
Last Update Date
10 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6234748101
Graduation Year
2016 (10 years ago)
PAC ID
3072844364
Group Practice PAC ID
6406020155
Professional Enrollment ID
I20191017002869
Address ID
AZ853387114GO9780XPKWY400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,260 FAMILY PRACTICE in AZ

Provider Addresses for DR. NATHAN ANDREW THOLL (M.D.)

  • PO BOX 52696

    PHOENIX, AZ 850722696

    Phone:

    Type: Mailing

  • 9780 S ESTRELLA PKWY

    GOODYEAR, AZ 853387114

    Phone: (623) 474-8101

    Type: Location

  • East Bell Road, Oakhurst, Phoenix, Maricopa County, Arizona, 85250-6402, United States

    PHOENIX, AZ 850322139

    Phone: (602) 633-3848

    Fax: (602) 633-3841

    Type: Mailing

  • West McDowell Road, Goodyear, Maricopa County, Arizona, 85395, United States

    GOODYEAR, AZ 853952625

    Phone: (623) 932-1157

    Fax: (623) 932-1045

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $278.

Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($202).

Total Amount

$278

General + Research + Ownership

Payments

16

Total payment records

General Amount

$278

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191017002869IFamily PracticeAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg2,52038$0
99214Established patient office or other outpatient visit, 30-39 minutes475283$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit274274$0
99213Established patient office or other outpatient visit, 20-29 minutes203172$0
G0444Annual depression screening, 5 to 15 minutes203203$0
View full utilization report →

Insurance plans in this area (ZIP 85072)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406020155View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. NATHAN ANDREW THOLL (M.D.) by NPI?
Use NPI 1124480165 when you need to reference DR. NATHAN ANDREW THOLL (M.D.) in forms, claims, or directories.
Is DR. NATHAN ANDREW THOLL (M.D.) active in the national directory?
DR. NATHAN ANDREW THOLL (M.D.)'s public NPI profile is in an active state.
What field does DR. NATHAN ANDREW THOLL (M.D.) work in?
You can think of DR. NATHAN ANDREW THOLL (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. NATHAN ANDREW THOLL (M.D.)?
We surface Phoenix, Arizona for DR. NATHAN ANDREW THOLL (M.D.) based on available NPPES addresses.
Is DR. NATHAN ANDREW THOLL (M.D.) a real provider?
This page reflects official NPPES data for NPI 1124480165. Always confirm identity and privileges with the practice and licensing boards.

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