JONATHAN NATHAN (M.D.) – Plastic Surgery Physician, NPI 1134449374
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
589 PLASTIC AND RECONSTRUCTIVE SURGERY in TX
Provider Addresses for JONATHAN NATHAN (M.D.)
3900 JUNIUS ST STE 605
DALLAS, TX 752461630
Phone: (214) 814-1711
Fax: (214) 292-8709
Type: Location
1800 HOWELL MILL RD NW STE 140
ATLANTA, GA 303180916
Phone: (404) 351-4151
Type: Mailing
6565 HILLCREST AVE STE 110
DALLAS, TX 752051840
Phone: (972) 512-4800
Fax: (214) 484-9994
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $4,713.
Total Amount is formed as General ($4,713) + Research ($0) + Ownership ($0) = $4,713.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($2,804).
Total Amount
$4,713
General + Research + Ownership
Payments
31
Total payment records
General Amount
$4,713
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-04-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190820004070 | I | Dermatology | IL | TBD |
| I20210429000984 | I | Plastic And Reconstructive Surgery | TX | 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 75246)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | WA | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX |
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