PETER NATHAN (MD) – Emergency Medicine Physician, NPI 1124792510

PETER NATHAN (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 2024015902 (MO). The NPI Number for PETER NATHAN (MD) is 1124792510

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
PETER NATHAN (MD)
NPI
1124792510
Phone
(573) 884-3300
Address
PO BOX 843966
Enumeration Date
9 August 2021
Last Update Date
15 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6602638400
Graduation Year
2016 (10 years ago)
PAC ID
2860896008
Group Practice PAC ID
1254757446
Professional Enrollment ID
I20240819003534
Address ID
MO652709407MO1515XAVEX300

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

1,351 EMERGENCY MEDICINE in MO

Provider Addresses for PETER NATHAN (MD)

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 1 HOSPITAL DR # DC029.10

    COLUMBIA, MO 652121000

    Phone:

    Type: Mailing

  • ONE HOSPITAL DR

    COLUMBIA, MO 652120001

    Phone: (573) 882-8091

    Fax: (573) 884-1902

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Vapotherm Inc ($92).

Total Amount

$130

General + Research + Ownership

Payments

3

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2024-08-19

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
I20240819003534IEmergency MedicineMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64184)

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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: 1254757446View full group profile
NameSpecialtyState
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineNC
Emergency MedicineIA
Family PracticeMO
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineMO
Family Practice, Emergency MedicineKS

Reviews

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Frequently asked questions

What is the registry number for PETER NATHAN (MD)?
The registry entry for PETER NATHAN (MD) shows NPI 1124792510.
Quick check: is PETER NATHAN (MD) active?
Public NPPES data shows PETER NATHAN (MD) with an active NPI status right now.
What services align with PETER NATHAN (MD)'s listing?
PETER NATHAN (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PETER NATHAN (MD)?
PETER NATHAN (MD) is associated with Kansas City, Missouri in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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