NATHAN MORRIS HAMEROFF M.D. NPI 1053367904

NPI Information

  • NPI: 1053367904
  • Provider Name: NATHAN MORRIS HAMEROFF, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5880 49TH ST N
    SUITE 104
    ST PETERSBURG, FL
    ZIP 33709
  • Phone: (727) 521-9552

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NPI Details

Nathan Morris Hameroff, M.D. is a diagnostic radiology radiology in St Petersburg, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Nathan Morris Hameroff, M.D. NPI is 1053367904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5880 49TH ST N
SUITE 104
ST PETERSBURG, FL
ZIP 33709-150
Phone: (727) 521-9552
Fax: (727) 528-4757

The NPI 1053367904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 4/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyME11683FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300075305OTHERRAILROAD MEDICARE
2D56266MEDICARE UPINFLORIDA
352796OTHERFLORIDABLUE CROSS BLUE SHIELD
4056422200MEDICAIDFLORIDA
552796WMEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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