DR. NICHOLAS THOMAS NELSON (M.D.) – Vascular & Interventional Radiology Physician, NPI 1235284803
Vascular & Interventional Radiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
847 INTERVENTIONAL RADIOLOGY in CA
Provider Addresses for DR. NICHOLAS THOMAS NELSON (M.D.)
34800 BOB WILSON DR
BLDG 1, RADIOLOGY
SAN DIEGO, CA 92134
Phone: (619) 532-8742
Type: Location
9, Ironwood Circle, Broadview, Towson, Baltimore County, Maryland, 21209, United States
BALTIMORE, MD 212091759
Phone: (410) 504-5899
Type: Mailing
600, North Wolfe Street, Washington Hill, Baltimore, Maryland, 21205, United States
BALTIMORE, MD 212052101
Phone: (410) 955-6796
Type: Location
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 237082111
Phone: (757) 953-1215
Type: Mailing
34800 BOB WILSON DR.
BLDG 1, RADIOLOGY
SAN DIEGO, CA 921342111
Phone: (619) 532-8742
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-08-17 • Largest payer in this snapshot: CARDIVA MEDICAL, INC. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CARDIVA MEDICAL, INC. | $16 |
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: 2024-04-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240425002152 | I | Interventional Radiology | MT | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Gastroenterology | UT | |
| Nurse Practitioner | MT | |
| O P H T H A L M O L O G Y | PA | |
| - | MT | |
| Nurse Practitioner | MT | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | MT | |
| Internal Medicine, Internal Medicine, Infectious Disease, Infectious Disease | NM | |
| U R O L O G Y | MT | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MT |
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